Active NPI
Sojung Lee
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1194477877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 151493
- Practice address
- 6833 Stockton Blvd Ste 485
Sacramento, CA 95823-2376 - Phone
- (916) 827-5937
- NPI assigned
- Jan 24, 2022
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 151493 | CA | Primary |
Addresses
Primary practice location
6833 Stockton Blvd Ste 485
Sacramento, CA 95823-2376
Mailing address
6833 Stockton Blvd Ste 485
Sacramento, CA 95823-2376
Other names 1
- Stacy Lee
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 |
|---|---|---|---|
| 151493 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1194477877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6833 STOCKTON BLVD STE 485",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6833 STOCKTON BLVD STE 485",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232376",
"telephone_number": "916-827-5937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SOJUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-24",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "151493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "LEE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.