Individual provider Active NPI

Lynda I Hutchens, NCC, MFT

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1447313259
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45407 Issued in CA
Practice address
5736 Fairway Knoll LN
Santa Rosa, CA 95403-0981
Phone
(707) 591-5364
Fax
(707) 566-6986
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 101 HI
Marriage & Family Therapist 106H00000X 45407 CA Primary

Addresses

Primary practice location

5736 Fairway Knoll LN
Santa Rosa, CA 95403-0981

Mailing address

5736 Fairway Knoll LN
Santa Rosa, CA 95403-0981
Phone (707) 591-5364

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

State licenses

LicenseStateTypeSpecialty
101HIMDDentist
45407CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1447313259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 FAIRWAY KNOLL LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954030981",
            "telephone_number": "707-591-5364",
            "fax_number": "707-566-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 FAIRWAY KNOLL LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954030981",
            "telephone_number": "707-591-5364",
            "fax_number": "707-566-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHENS",
        "first_name": "LYNDA",
        "middle_name": "I",
        "credential": "NCC, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "101",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.