Takeshi Abe, MFT
Individual provider Active NPI Marriage & Family Therapist · Sacramento, CA
NPI 1346340577 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346340577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC41734 (CA)
- Practice address
- 2150 Stockton Blvd
Sacramento, CA 95817-1337 - Phone
- (916) 876-5205
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240404001954 | CA | Practitioner - Marriage and Family Therapist | 2668810086 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC41734 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sacramento | Current |
Accepting new patients | |
| County of Sacramento | Current |
Accepting new patients |
Locations
4600 Broadway
#1100
Sacramento, CA 95820
Phone (916) 874-9670
2150 Stockton Blvd
Sacramento, CA 95817
Phone (916) 875-1000
4600 Broadway
Sacramento, CA 95820
Phone (916) 874-9670
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC41734 | CA | Yes |
Addresses
Primary practice location
2150 Stockton Blvd
Sacramento, CA 95817-1337
Mailing address
2150 Stockton Blvd
Sacramento, CA 95817-1337
Phone (916) 876-5205
Other providers in Sacramento, CA
- Shakila Abdul
- Zainab Mohammed Abdulsada
- Tunde Abdulsalam
- Sana Abdussamed
- Donyale Abe
- Emodish M Abebe
- Amnah Bilal Abed
- Iman Abed
- Tesneem Abed
- Mehrad Abedi
All providers in Sacramento, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.