Silver Fiddle Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

SILVER FIDDLE THERAPY

Practice address

19881 State Highway 88
Pine Grove, CA 95665-9495

Phone

(209) 560-6012

NPI assigned

Jun 17, 2019

Last updated

Jun 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lola Marie Blevins, LMFTNPI 1336673821

Title

President

Phone

(209) 304-8821

Specialties & licenses 1

Addresses

Locations

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.

• Lola Blevins, MFT

  • Marriage & Family Therapist
  • Pine Grove, CA
  • NPI 1336673821
  NPD (past) Authorized official

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1639739121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182",
            "city": "VOLCANO",
            "state": "CA",
            "postal_code": "956890182",
            "telephone_number": "209-304-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19881 STATE HIGHWAY 88",
            "city": "PINE GROVE",
            "state": "CA",
            "postal_code": "956659495",
            "telephone_number": "209-560-6012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24521 Shake Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Volcano",
            "state": "CA",
            "postal_code": "956899629",
            "country_code": "US",
            "telephone_number": "209-560-6012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SILVER FIDDLE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "LOLA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-304-8821",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Armen R Kendig, DC
• Thanh Viet Nguyen, PHARM.D.
• Sharon Ann Sands, LCSW
• Tasvir K Singh, PHARMD, BCPS
• Arno Eugene Sullivan, D,C,
• Sheldon Howard Suskauer, MD
• Towin Pharmacy Inc (Pine Cone Drug)
• Macario Ruiz Vazquez, MD

• Marriage & Family Therapist in Pine Grove, CA
• Providers in Pine Grove, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.