Active NPI
Mosaic Therapy and Wellness
- Marriage & Family Therapist
- Folsom, CA
National Provider Identifier
1316316128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT85949
- Legal business name
- MOSAIC THERAPY AND WELLNESS
- Practice address
- 507 Natoma Street
Folsom, CA 95630 - Phone
- (916) 934-2385
- NPI assigned
- Sep 22, 2015
- 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
- Mrs. Mandi Michele Oliphant, LMFT & ATR
- Title
- Partner
- Phone
- (916) 934-2385
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT85949 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | LMFT49748 | CA |
Addresses
Primary practice location
507 Natoma Street
Folsom, CA 95630
Mailing address
507 Natoma Street
Folsom, CA 95630
National Provider Directory
National Provider DirectoryLocations
507 Natoma St
Folsom, CA 95630
Phone (916) 300-8276
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
- Folsom, CA
- NPI 1891939443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442880000000",
"number": "1316316128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 NATOMA STREET",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 NATOMA STREET",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630",
"telephone_number": "916-934-2385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC THERAPY AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-22",
"last_updated": "2015-09-22",
"status": "A",
"authorized_official_last_name": "OLIPHANT",
"authorized_official_first_name": "MANDI",
"authorized_official_middle_name": "MICHELE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "916-934-2385",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT & ATR"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT85949",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT49748",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.