Active NPI
Cheryl Stewart
- Marriage & Family Therapist
- Red Bluff, CA
National Provider Identifier
1457778052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 66896
- Practice address
- 590 Antelope Blvd Ste 30
Red Bluff, CA 96080-2474 - Phone
- (530) 529-9454
- Fax
- (530) 529-9456
- NPI assigned
- Mar 21, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 66896 | CA | Primary |
Addresses
Primary practice location
590 Antelope Blvd Ste 30
Red Bluff, CA 96080-2474
Mailing address
PO Box 950
590 Antelope Blvd. BLDG B Ste 30
Red Bluff, CA 96080-0950
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66896 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| His Ideas, Inc | Past | Accepting new patients | |
| His Ideas, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Foster Care Agency
- Redding, CA
- NPI 1386416774
-
- Community/Behavioral Health Agency
- Red Bluff, CA
- NPI 1568641470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1457778052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950",
"address_2": "590 ANTELOPE BLVD. BLDG B STE 30",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960800950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 ANTELOPE BLVD STE 30",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960802474",
"telephone_number": "530-529-9454",
"fax_number": "530-529-9456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "CHERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-21",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "66896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bluff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.