Individual provider Active NPI

Joy Light, LMFT

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1679184337
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT113423 Issued in CA
Practice address
300 Harding Blvd Ste 211
Roseville, CA 95678-2473
Phone
(916) 426-2757
Fax
(916) 200-1536
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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 LMFT113423 CA Primary

Addresses

Primary practice location

300 Harding Blvd Ste 211
Roseville, CA 95678-2473

Mailing address

10235 Fair Oaks Blvd Ste 203
Fair Oaks, CA 95628-7166
Phone (916) 426-2757

Other practice location 1

10235 Fair Oaks Blvd Ste 203
Fair Oaks, CA 95628-7166
Phone (916) 426-2757 ext. 704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT113423CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Relationship and Marriage Therapy Center: a Professional Corporation Marriage & Family Therapist PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 1

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": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1679184337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10235 FAIR OAKS BLVD STE 203",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287166",
            "telephone_number": "916-426-2757",
            "fax_number": "916-200-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HARDING BLVD STE 211",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782473",
            "telephone_number": "916-426-2757",
            "fax_number": "916-200-1536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10235 Fair Oaks Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956287166",
            "country_code": "US",
            "telephone_number": "916-426-2757 x704",
            "fax_number": "916-200-1536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "JOY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT113423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.