Active NPI
Elizabeth R Trockey
- Mental Health Counselor
- Fairfield, CA
National Provider Identifier
1427600824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1234 Empire St # 1500
Fairfield, CA 94533-5711 - Phone
- (707) 718-8843
- NPI assigned
- Jul 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1234 Empire St # 1500
Fairfield, CA 94533-5711
Mailing address
3550 Watt Ave Ste 140
Sacramento, CA 95821-2666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Daniel Burnham CT
Suite 400
San Francisco, CA 94109-5455
Phone (415) 409-7364
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Pain Management Medical Group, Inc. | Current | Accepting new patients |
Locations
4820 Business Center Dr
Ste 220
Fairfield, CA 94534
Phone (510) 278-2700
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 and National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Walnut Creek, CA
- NPI 1922198779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1427600824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 WATT AVE STE 140",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958212666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 EMPIRE ST # 1500",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335711",
"telephone_number": "707-718-8843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROCKEY",
"first_name": "ELIZABETH",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.