NPIMap

Organization Active NPI

Terra Nova Counseling

  • Public Health or Welfare Agency
  • Citrus Heights, CA
National Provider Identifier
1386889863
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
TERRA NOVA COUNSELING
Practice address
5750 Sunrise Blvd
Citrus Heights, CA 95610-7634
Phone
(916) 334-4096
NPI assigned
Dec 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Mary K. Stroube
Title
Cfo, President
Phone
(916) 344-0964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X CA Primary

Addresses

Primary practice location

5750 Sunrise Blvd
Citrus Heights, CA 95610-7634

Mailing address

4700 Northgate Blvd Ste 122
Sacramento, CA 95834-1148
Phone (916) 564-0600

Other identifiers 1

IdentifierTypeStateIssuer
000008462OtherCAMEDICALL PROVIDER #

National Provider Directory

National Provider Directory
Tax ID family
Terra Nova Counseling6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4700 Northgate Blvd
Ste 122
Sacramento, CA 95834
Phone (916) 564-0600

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1386889863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 NORTHGATE BLVD STE 122",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341148",
            "telephone_number": "916-564-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 SUNRISE BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107634",
            "telephone_number": "916-334-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA NOVA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "STROUBE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CFO, PRESIDENT",
        "authorized_official_telephone_number": "916-344-0964"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICALL PROVIDER #",
            "identifier": "000008462",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.