Individual provider Active NPI

Sandra L. Lessenden

  • Marriage & Family Therapist
  • Walnut Creek, CA
National Provider Identifier
1679693337
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MK24013 Issued in CA
Practice address
2940 Camino Diablo
Suite 300
Walnut Creek, CA 94597-3987
Phone
(925) 933-3338
Fax
(510) 654-3299
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MK24013 CA Primary

Addresses

Primary practice location

2940 Camino Diablo
Suite 300
Walnut Creek, CA 94597-3987

Mailing address

5877 Chabot CT
Oakland, CA 94618-1643
Phone (925) 933-3338

Other names 1

  • Mrs. Sandra L. Martin Former name

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
MK24013CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679693337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5877 CHABOT CT",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181643",
            "telephone_number": "925-933-3338",
            "fax_number": "510-654-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 CAMINO DIABLO",
            "address_2": "SUITE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973987",
            "telephone_number": "925-933-3338",
            "fax_number": "510-654-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSENDEN",
        "first_name": "SANDRA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MK24013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "MARTIN",
            "middle_name": "L.",
            "prefix": "MRS.",
            "credential": "MFK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.