Organization Active NPI

Sacramento County

  • Point of Service
  • Elk Grove, CA
National Provider Identifier
1679504542
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
40210 Issued in CA
Legal business name
SACRAMENTO COUNTY
Practice address
8853 Mohamed Cir
Elk Grove, CA 95624-2232
Phone
(408) 509-8480
NPI assigned
Jul 6, 2006
Last updated
Oct 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Miss Kara Miller, M.F.T.
Title
Licensed Sr. Mental Health Counselo
Phone
(916) 874-5196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 40210 CA Primary

Addresses

Primary practice location

8853 Mohamed Cir
Elk Grove, CA 95624-2232

Mailing address

8853 Mohamed Cir
Elk Grove, CA 95624-2232
Phone (408) 509-8480

Other names 1

  • adult access Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1679504542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8853 MOHAMED CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242232",
            "telephone_number": "408-509-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8853 MOHAMED CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242232",
            "telephone_number": "408-509-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "LICENSED SR. MENTAL HEALTH COUNSELO",
        "authorized_official_telephone_number": "916-874-5196",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.F.T."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "40210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "adult access",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.