Individual provider Active NPI

Nicole Elizabeth Seebach, LMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1306486287
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
126227 Issued in CA
Practice address
3321 Power Inn Rd Ste 110
Sacramento, CA 95826-3893
Phone
(916) 261-8150
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 110393 CA
Marriage & Family Therapist 106H00000X 126227 CA Primary

Addresses

Primary practice location

3321 Power Inn Rd Ste 110
Sacramento, CA 95826-3893

Mailing address

988 King John Way
El Dorado Hills, CA 95762-4121
Phone (916) 337-8316

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Seebachn@saccounty.gov Direct

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
I20240405003273 CA Practitioner - Marriage and Family Therapist 3870931025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126227CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Amador CurrentSince Feb 4, 2024 Accepting new patients
County of Amador PastSince Aug 18, 2019 Accepting new patients

Locations

10877 Conductor Blvd
Ste 300
Sutter Creek, CA 95685
Phone (209) 223-6412

Interoperability endpoints

  • Direct secure messaging: seebachn@saccounty.gov

Organizations & group practices 2

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1306486287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 KING JOHN WAY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624121",
            "telephone_number": "916-337-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 POWER INN RD STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263893",
            "telephone_number": "916-261-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEBACH",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110393",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "126227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Seebachn@saccounty.gov",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3321 Power Inn Rd Ste 110",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958263893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.