Individual provider Active NPI

Jason Paul Springsted, MS, LMFT

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1437426822
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
77401 Issued in CA
Practice address
12 Nevada St Ste B
Redlands, CA 92373-4222
Phone
(951) 374-0007
NPI assigned
Nov 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 77401 CA Primary

Addresses

Primary practice location

12 Nevada St Ste B
Redlands, CA 92373-4222

Mailing address

12 Nevada St Ste B
Redlands, CA 92373-4222
Phone (951) 374-0007

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1437426822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NEVADA ST STE B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734222",
            "telephone_number": "951-374-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NEVADA ST STE B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734222",
            "telephone_number": "951-374-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGSTED",
        "first_name": "JASON",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "77401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.