Organization Active NPI

Your Space Counseling for Marriage and Families Inc.

  • Group Psychotherapy Psychologist
  • Auburn, CA
National Provider Identifier
1255072872
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
YOUR SPACE COUNSELING FOR MARRIAGE AND FAMILIES INC.
Practice address
701 High St Ste 205
Auburn, CA 95603-4734
Phone
(916) 233-6604
Fax
(530) 466-3329
NPI assigned
Apr 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christina Shaver, LMFTNPI 1689032591
Title
Owner/President
Phone
(916) 233-6604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

701 High St Ste 205
Auburn, CA 95603-4734

Mailing address

701 High St Ste 205
Auburn, CA 95603-4734
Phone (916) 233-6604

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 5304663329 Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

701 High St
Ste 205
Auburn, CA 95603
Phone (916) 284-4579

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1255072872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HIGH ST STE 205",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034734",
            "telephone_number": "916-233-6604",
            "fax_number": "530-466-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HIGH ST STE 205",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034734",
            "telephone_number": "916-233-6604",
            "fax_number": "530-466-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR SPACE COUNSELING FOR MARRIAGE AND FAMILIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "916-233-6604",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "5304663329",
            "affiliation": "N",
            "endpointDescription": "FAX",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 High St Ste 205",
            "city": "Auburn",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956034734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.