NPIMap

Organization Active NPI

Life Practice Counseling Group

  • Mental Health Counselor
  • Sacramento, CA
National Provider Identifier
1285348086
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIFE PRACTICE COUNSELING GROUP
Practice address
2787 Grove Ave
Sacramento, CA 95815-1629
Phone
(916) 300-6576
NPI assigned
Jan 6, 2023
Organization subpart
Yes
Parent organization
LIFE PRACTICE COUNSELING GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Carisa Salazar Sherwood, LMFT 48768NPI 1710145503
Title
Executive Director
Phone
(916) 798-5468

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2787 Grove Ave
Sacramento, CA 95815-1629

Mailing address

3820 Auburn Blvd Ste 100
Sacramento, CA 95821-2124
Phone (916) 300-6576

Other names 1

  • Life Practice Outreach Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Life Practice Counseling Group2 organizations share this tax ID, including this one
Part of
Life Practice Counseling Group

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1285348086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 AUBURN BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212124",
            "telephone_number": "916-300-6576",
            "fax_number": "916-514-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 GROVE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958151629",
            "telephone_number": "916-300-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PRACTICE COUNSELING GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE PRACTICE COUNSELING GROUP, INC.",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "SHERWOOD",
        "authorized_official_first_name": "CARISA",
        "authorized_official_middle_name": "SALAZAR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-798-5468",
        "authorized_official_credential": "LMFT 48768"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Practice Outreach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 6, 2023; 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.