Active NPI
Marissa Erica Stavness
- Counselor
- Sacramento, CA
National Provider Identifier
1225592777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 9343 Tech Center Dr
Sacramento, CA 95826-2563 - Phone
- (916) 388-6400
- NPI assigned
- Jan 29, 2019
- Last updated
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
9343 Tech Center Dr
Sacramento, CA 95826-2563
Mailing address
9343 Tech Center Dr
Sacramento, CA 95826-2563
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emq Families First | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1225592777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9343 TECH CENTER DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958262563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9343 TECH CENTER DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958262563",
"telephone_number": "916-388-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAVNESS",
"first_name": "MARISSA",
"middle_name": "ERICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.