Individual provider Active NPI

Dawn Dena Mehalakis, AMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1295006104
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
74242 Issued in CA
Practice address
6464 Villa Dr
Sacramento, CA 95842-2426
Phone
(916) 801-6569
NPI assigned
Jan 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 74242 CA Primary

Addresses

Primary practice location

6464 Villa Dr
Sacramento, CA 95842-2426

Mailing address

6464 Villa Dr
Sacramento, CA 95842-2426
Phone (916) 801-6569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207002431 CA Practitioner - Marriage and Family Therapist 9032520374 Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6464 Villa Dr
Sacramento, CA 95842-2426
Phone (916) 801-6569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74242CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Road to Wellness CurrentSince Apr 6, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1295006104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 VILLA DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958422426",
            "telephone_number": "916-801-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 VILLA DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958422426",
            "telephone_number": "916-801-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHALAKIS",
        "first_name": "DAWN",
        "middle_name": "DENA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "74242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.