Individual provider Active NPI

Traci D Bianchi-Templin, MA, LMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1669914610
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
96632 Issued in CA
Practice address
1316 26TH St
Sacramento, CA 95816-5922
Phone
(916) 712-5310
NPI assigned
Nov 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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 96632 CA Primary

Addresses

Primary practice location

1316 26TH St
Sacramento, CA 95816-5922

Mailing address

1316 26TH St
Sacramento, CA 95816-5922
Phone (916) 712-5310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
96632CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1669914610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 26TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165922",
            "telephone_number": "916-712-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 26TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165922",
            "telephone_number": "916-712-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCHI-TEMPLIN",
        "first_name": "TRACI",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "96632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.