Individual provider Active NPI

Melody King, LMFT

  • Marriage & Family Therapist
  • Grass Valley, CA
National Provider Identifier
1467026419
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT42859 Issued in CA
Practice address
673 S Auburn St Ste B
Grass Valley, CA 95945-7576
Phone
(530) 913-5054
Fax
(844) 335-6596
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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 LMFT42859 CA Primary

Addresses

Primary practice location

673 S Auburn St Ste B
Grass Valley, CA 95945-7576

Mailing address

673 S Auburn St Ste B
Grass Valley, CA 95945-7576
Phone (530) 913-5054

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
I20240321002320 CA Practitioner - Marriage and Family Therapist 7618314964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Family Therapy Centers, Inc.Group PAC ID 6608210752, 12 clinicians

Practice addresses (Care Compare)

673 S Auburn St
Suite B
Grass Valley, CA 95945-7576
Phone (530) 913-5054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT42859CAMDMarriage & Family Therapist
42859CAMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Family Therapy Centers, Inc. Marriage & Family Therapist CurrentSince Feb 28, 2024 Accepting new patients

Locations

673 S Auburn St
Ste B
Grass Valley, CA 95945
Phone (530) 913-5054

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.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1467026419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 S AUBURN ST STE B",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457576",
            "telephone_number": "530-913-5054",
            "fax_number": "844-335-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 S AUBURN ST STE B",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457576",
            "telephone_number": "530-913-5054",
            "fax_number": "844-335-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MELODY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT42859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.