Active NPI
Ciara P Hale, AMFT
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1326766635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 144581
- Practice address
- 811 Grand Ave
Sacramento, CA 95838-3466 - Phone
- (916) 922-9868
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Marriage & Family Therapist | 106H00000X | 144581 | CA | Primary |
Addresses
Primary practice location
811 Grand Ave
Sacramento, CA 95838-3466
Mailing address
811 Grand Ave
Sacramento, CA 95838-3466
Phone (916) 922-9868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95075841G70129 | Medicaid | CA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Portal.office.com | Direct | |
| Other URL | microsoft |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144581 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1326766635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 GRAND AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958383466",
"telephone_number": "916-922-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 GRAND AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958383466",
"telephone_number": "916-922-9868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "CIARA",
"middle_name": "P",
"credential": "AMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "144581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95075841G70129",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Portal.office.com",
"affiliation": "N",
"endpointDescription": "Office 365",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2829 Watt Ave",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958216200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "microsoft",
"affiliation": "N",
"endpointDescription": "microsoft",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "811 Grand Ave",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958383466",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.