Active NPI
Your Space Counseling for Marriage and Families Inc.
- Group Psychotherapy Psychologist
- Auburn, CA
National Provider Identifier
1255072872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Shaver, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 5304663329 | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- Auburn, CA
- NPI 1689032591
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.