Individual provider Active NPI

Barbara Irene Gephart, MFT

  • Counselor
  • Redding, CA
National Provider Identifier
1457480998
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MFC8315 Issued in CA
Practice address
804 E Cypress Ave Ste 100
Redding, CA 96002-1004
Phone
(530) 222-4787
Fax
(530) 222-5128
NPI assigned
Mar 2, 2007
Last updated
Apr 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MFC8315 CA Primary
Mental Health Counselor 101YM0800X LMFT8315 CA

Addresses

Primary practice location

804 E Cypress Ave Ste 100
Redding, CA 96002-1004

Mailing address

804 E Cypress Ave Ste 100
Redding, CA 96002-1004
Phone (530) 222-4787

Other identifiers 1

IdentifierTypeStateIssuer
1457480998MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL REDDING Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023000813 CA Practitioner - Mental Health Counselor 2567808595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shasta Treatment CenterGroup PAC ID 3072952340, 2 clinicians

Practice addresses (Care Compare)

804 E Cypress Ave
Suite 100
Redding, CA 96002-1004
Phone (530) 222-4787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC8315CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Treatment Center CurrentSince Aug 22, 2024 Accepting new patients

Locations

2030 Hartnell Ave
Ste D
Redding, CA 96002
Phone (530) 222-4787

804 E Cypress Ave
Ste 100
Redding, CA 96002
Phone (530) 222-4787

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1457480998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 E CYPRESS AVE STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021004",
            "telephone_number": "530-222-4787",
            "fax_number": "530-222-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E CYPRESS AVE STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021004",
            "telephone_number": "530-222-4787",
            "fax_number": "530-222-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEPHART",
        "first_name": "BARBARA",
        "middle_name": "IRENE",
        "name_prefix": "Miss",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "MFC8315",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT8315",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457480998",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "REDDING",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "REDDING",
            "address_1": "804 E Cypress Ave Ste 100",
            "city": "Redding",
            "state": "CA",
            "country_code": "US",
            "postal_code": "960021004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.