Individual provider Active NPI

Sarah Rhiannon Fitch

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1558840215
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
115273 Issued in CA
Practice address
1624 Santa Clara Dr Ste 145
Roseville, CA 95661
Phone
(916) 779-2455
NPI assigned
Aug 13, 2018
Last updated
Sep 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 101278 CA
Marriage & Family Therapist 106H00000X 115273 CA Primary

Addresses

Primary practice location

1624 Santa Clara Dr Ste 145
Roseville, CA 95661

Mailing address

1624 Santa Clara Dr Ste 145
Roseville, CA 95661-3500
Phone (916) 779-2455

Other practice location 1

1624 Santa Clara Dr Ste 145
Roseville, CA 95661
Phone (916) 779-2455

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
I20241115000666 CA Practitioner - Marriage and Family Therapist 0749714582 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101278CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Wellness Family Therapy, Inc. CurrentSince Nov 7, 2024 Accepting new patients
Pacific Clinics CurrentSince Jul 10, 2022 Accepting new patients

Locations

1041 E Yorba Linda Blvd
Ste 202
Placentia, CA 92870
Phone (714) 579-0717

1624 Santa Clara Dr
Ste 145
Roseville, CA 95661
Phone (916) 367-8439

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1558840215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 SANTA CLARA DR STE 145",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613500",
            "telephone_number": "916-779-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 SANTA CLARA DR STE 145",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-779-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1624 Santa Clara Dr Ste 145",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "95661",
            "country_code": "US",
            "telephone_number": "916-779-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITCH",
        "first_name": "SARAH",
        "middle_name": "RHIANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "101278",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.