Active NPI
Sacramento County
- Point of Service
- Elk Grove, CA
National Provider Identifier
1679504542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 40210
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.