NPIMap

Organization Active NPI

Sierra Family Therapy Centers, Inc.

  • Marriage & Family Therapist
  • Grass Valley, CA
National Provider Identifier
1336648385
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
50154 Issued in CA
Legal business name
SIERRA FAMILY THERAPY CENTERS, INC.
Practice address
673 S Auburn St Ste B
Grass Valley, CA 95945-7576
Phone
(530) 913-5054
Fax
(844) 396-7627
NPI assigned
Feb 5, 2018
Last updated
Feb 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Sierra T Sparks, LMFT
Title
Ceo
Phone
(530) 913-5054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 50154 CA Primary

Addresses

Primary practice location

673 S Auburn St Ste B
Grass Valley, CA 95945-7576

Mailing address

673 S Auburn St Ste B
Grass Valley, CA 95945-7576
Phone (530) 913-5054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240216003242 CA Part B Supplier - Clinic/Group Practice 6608210752 Receives reassigned benefits from 23 practitioners
Practice locations: Grass Valley, CA; Yuba City, CA; Sacramento, CA; Penn Valley, CA; Roseville, CA

National Provider Directory

National Provider Directory

Locations

673 S Auburn St
Ste B
Grass Valley, CA 95945
Phone (530) 913-5054

10524 Spenceville Rd
Penn Valley, CA 95946
Phone (530) 227-1630

775 Sunrise Ave
Ste 150
Roseville, CA 95661
Phone (530) 913-7221

1103 Butte House Rd
Ste E
Yuba City, CA 95991
Phone (530) 431-8074

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1336648385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 S AUBURN ST STE B",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457576",
            "telephone_number": "530-913-5054",
            "fax_number": "844-396-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 S AUBURN ST STE B",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457576",
            "telephone_number": "530-913-5054",
            "fax_number": "844-396-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA FAMILY THERAPY CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-913-5054",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.