Active NPI
Sharon Dawn Krusi, LMFT
- Marriage & Family Therapist
- Nevada City, CA
National Provider Identifier
1194128827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT96330
- Practice address
- 12586 Summit Ridge Dr
Nevada City, CA 95959-9534 - Phone
- (530) 263-4612
- NPI assigned
- Oct 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | IMF 81170 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT96330 | CA | Primary |
Addresses
Primary practice location
12586 Summit Ridge Dr
Nevada City, CA 95959-9534
Mailing address
12586 Summit Ridge Dr
Nevada City, CA 95959-9534
Phone (530) 263-4612
Other practice location 1
24077 State Highway 49
Nevada City, CA 95959-8519
Phone (530) 265-9057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 81170 | CA | MD | Marriage & Family Therapist |
| LMFT96330 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1194128827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12586 SUMMIT RIDGE DR",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959599534",
"telephone_number": "530-263-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12586 SUMMIT RIDGE DR",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959599534",
"telephone_number": "530-263-4612"
}
],
"practiceLocations": [
{
"address_1": "24077 State Highway 49",
"address_purpose": "LOCATION",
"city": "Nevada City",
"state": "CA",
"postal_code": "959598519",
"country_code": "US",
"telephone_number": "530-265-9057",
"fax_number": "530-292-3803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUSI",
"first_name": "SHARON",
"middle_name": "DAWN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 81170",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT96330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.