Organization Active NPI

Resonate Individual and Family Therapy

  • Marriage & Family Therapist
  • Truckee, CA
National Provider Identifier
1619613031
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RESONATE INDIVIDUAL AND FAMILY THERAPY
Practice address
10368 Donner Pass Rd
Truckee, CA 96161-0427
Phone
(925) 658-8367
NPI assigned
May 9, 2022
Last updated
May 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Michelle Vanderjagt, LMFTNPI 1447853080
Title
Owner/President
Phone
(760) 410-8096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

10368 Donner Pass Rd
Truckee, CA 96161-0427

Mailing address

12401 Green Pasture Dr
Truckee, CA 96161-2916
Phone (925) 658-8367

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Truckee Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

10368 Donner Pass Rd
Truckee, CA 96161
Phone (530) 536-0663

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1619613031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 GREEN PASTURE DR",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961612916",
            "telephone_number": "925-658-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10368 DONNER PASS RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610427",
            "telephone_number": "925-658-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESONATE INDIVIDUAL AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "VANDERJAGT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "760-410-8096",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Truckee",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10368 Donner Pass Rd",
            "city": "Truckee",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961610427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.