April Gollnick-Licenik, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT108103 Issued in CA

Practice address

1610 Executive CT
Sacramento, CA 95864-2608

Phone

(916) 359-2950

NPI assigned

May 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Path Counseling

  • Marriage & Family Therapist
  • Sacramento, CA
  • NPI 1700448693
  NPD Authorized official
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1841373800
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Business Needs

  • Psychiatric Hospital
  • Sacramento, CA
  • NPI 1962936617
  NPD (past)
• Human Touch Behavioral Health Inc

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1942548953
  NPD (past)

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1669827010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 EXECUTIVE CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958642608",
            "telephone_number": "916-900-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 EXECUTIVE CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958642608",
            "telephone_number": "916-359-2950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5750 Sunrise Blvd",
            "address_purpose": "LOCATION",
            "city": "Citrus Heights",
            "state": "CA",
            "postal_code": "956107634",
            "country_code": "US",
            "telephone_number": "916-239-6377 x6377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLLNICK-LICENIK",
        "first_name": "APRIL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF# 81389",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT108103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mojtaba Golestan, DDS
• Goliad Dialysis LLC
• Mary Paz Torres Golingho, MD
• Sadegh Golkar, MD
• David Sidney Goller, M.D.
• Marshall Gollub, MD
• Caroline Goltz-Traylor
• Natalya Golub
• Andrea Maria Gomar Padilla
• Itgel Gombo

• All providers in Sacramento, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.