Individual provider Active NPI

Stephen Anthony Christensen, LMFT

  • Marriage & Family Therapist
  • Ukiah, CA
National Provider Identifier
1518290071
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
97719 Issued in CA
Practice address
169 Mason St Ste 300
Ukiah, CA 95482-4483
Phone
(707) 463-3300
Fax
(707) 463-3318
NPI assigned
Sep 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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 97719 CA Primary

Addresses

Primary practice location

169 Mason St Ste 300
Ukiah, CA 95482-4483

Mailing address

169 Mason St Ste 300
Ukiah, CA 95482-4483
Phone (707) 463-3300

Other practice location 1

290 E Gobbi St
Ukiah, CA 95482-5559
Phone (707) 463-3300 ext. 101

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

LicenseStateTypeSpecialty
97719CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1518290071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MASON ST STE 300",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824483",
            "telephone_number": "707-463-3300",
            "fax_number": "707-463-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MASON ST STE 300",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824483",
            "telephone_number": "707-463-3300",
            "fax_number": "707-463-3318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 E Gobbi St",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954825559",
            "country_code": "US",
            "telephone_number": "707-463-3300 x101",
            "fax_number": "707-463-3318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "STEPHEN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.