Active NPI
Stephen S Taft V, MFT# 53360
- Mental Health Counselor
- Rocklin, CA
National Provider Identifier
1184922924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFT# 53360
- Practice address
- 6520 Lonetree Blvd # 120
Rocklin, CA 95765 - Phone
- (916) 256-3178
- Fax
- (844) 525-1517
- NPI assigned
- Mar 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFT# 53360 | CA | Primary |
Addresses
Primary practice location
6520 Lonetree Blvd # 120
Rocklin, CA 95765
Mailing address
6520 Lonetree Blvd # 120
Rocklin, CA 95765-5874
Phone (916) 256-3178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT# 53360 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1184922924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 LONETREE BLVD # 120",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957655874",
"telephone_number": "916-256-3178",
"fax_number": "844-525-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6520 LONETREE BLVD # 120",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "95765",
"telephone_number": "916-256-3178",
"fax_number": "844-525-1517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAFT",
"first_name": "STEPHEN",
"middle_name": "S",
"name_prefix": "Mr.",
"name_suffix": "V",
"credential": "MFT# 53360",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-03",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFT# 53360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.