Individual provider Active NPI

Betty Lee Readle, M.F.T.

  • Marriage & Family Therapist
  • Auburn, CA
National Provider Identifier
1467585984
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 44034 Issued in CA
Practice address
1212 High St
Auburn, CA 95603-5015
Phone
(530) 889-1476
Fax
(530) 823-8387
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC 44034 CA Primary

Addresses

Primary practice location

1212 High St
Auburn, CA 95603-5015

Mailing address

1212 High St
Auburn, CA 95603-5015
Phone (530) 889-1476

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
I20240322000740 CA Practitioner - Marriage and Family Therapist 6305283623 Practice locations: Auburn, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
National University of Arts and Sciences, Medical Department, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1212 High St
Auburn, CA 95603-5015
Phone (530) 305-6131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 44034CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467585984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 HIGH ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035015",
            "telephone_number": "530-889-1476",
            "fax_number": "530-823-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 HIGH ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035015",
            "telephone_number": "530-889-1476",
            "fax_number": "530-823-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READLE",
        "first_name": "BETTY",
        "middle_name": "LEE",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 44034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.