Active NPI
Kelly Newbill
- Marriage & Family Therapist
- Citrus Heights, CA
National Provider Identifier
1467589929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 48469
- Practice address
- 5750 Sunrise Blvd
Citrus Heights, CA 95610-7634 - Phone
- (916) 239-6314
- NPI assigned
- Feb 28, 2007
- 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 | 48469 | CA | Primary |
Addresses
Primary practice location
5750 Sunrise Blvd
Citrus Heights, CA 95610-7634
Mailing address
5750 Sunrise Blvd
Citrus Heights, CA 95610-7634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000008462 | Other | CA | MEDI-CAL PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 48469 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terra Nova Counseling | Past | Accepting new patients | |
| Terra Nova Counseling | 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.
-
- Community/Behavioral Health Agency
- Citrus Heights, CA
- NPI 1174055206
-
- Public Health or Welfare Agency
- Citrus Heights, CA
- NPI 1386889863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1467589929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 SUNRISE BLVD",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956107634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 SUNRISE BLVD",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956107634",
"telephone_number": "916-239-6314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBILL",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "48469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER NUMBER",
"identifier": "000008462",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.