Individual provider Active NPI

Sara Pollman Rector, MFT

  • Marriage & Family Therapist
  • Thousand Oaks, CA
National Provider Identifier
1578784146
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC31230 Issued in CA
Practice address
509 Marin Street
Suite 236
Thousand Oaks, CA 91360
Phone
(805) 494-1414
NPI assigned
May 1, 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 MFC31230 CA Primary

Addresses

Primary practice location

509 Marin Street
Suite 236
Thousand Oaks, CA 91360

Mailing address

509 Marin Street
Suite 236
Thousand Oaks, CA 91360
Phone (805) 494-1414

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
I20241209000805 CA Practitioner - Marriage and Family Therapist 3173058302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle of Life Counseling CenterGroup PAC ID 6103351333, 2 clinicians

Practice addresses (Care Compare)

501 Marin St
Suite 114
Thousand Oaks, CA 91360-4265
Phone (805) 494-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC31230CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Rector Marriage & Family Therapist Current Accepting new patients
Circle of Life Counseling Center Marriage & Family Therapist CurrentSince Oct 1, 2024 Accepting new patients

Locations

501 Marin St
Ste 114
Thousand Oaks, CA 91360
Phone (805) 338-5273

501 Marin St
Ste 202
Thousand Oaks, CA 91360
Phone (805) 494-1414

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578784146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MARIN STREET",
            "address_2": "SUITE 236",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-494-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MARIN STREET",
            "address_2": "SUITE 236",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-494-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECTOR",
        "first_name": "SARA",
        "middle_name": "POLLMAN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC31230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.