Individual provider Active NPI

Krysta Dancy, MA, MFT

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1336469212
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 48506 Issued in CA
Practice address
720 Sunrise Ave
Suite D115
Roseville, CA 95661-4516
Phone
(916) 270-7413
NPI assigned
Jun 2, 2010
Last updated
Jun 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MFC 48506 CA
Mental Health Counselor 101YM0800X MFC 48506 CA
Professional Counselor 101YP2500X MFC 48506 CA
Marriage & Family Therapist 106H00000X MFC 48506 CA Primary

Addresses

Primary practice location

720 Sunrise Ave
Suite D115
Roseville, CA 95661-4516

Mailing address

720 Sunrise Ave
Suite D115
Roseville, CA 95661-4516
Phone (916) 270-7413

Other names 1

  • Krysta Dancy-Cabeal Other name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 48506CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dancy Perinatal Inc Mental Health Current Accepting new patients

Locations

720 Sunrise Ave
Ste 115D
Roseville, CA 95661
Phone (916) 270-7413

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1336469212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SUNRISE AVE",
            "address_2": "SUITE D115",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614516",
            "telephone_number": "916-270-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SUNRISE AVE",
            "address_2": "SUITE D115",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614516",
            "telephone_number": "916-270-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCY",
        "first_name": "KRYSTA",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "MFC 48506",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC 48506",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "MFC 48506",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 48506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTA",
            "last_name": "DANCY-CABEAL",
            "credential": "MA, MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.