Active NPI
Lauren Ellis-Hanson, MA
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1700368974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 112843
- Practice address
- 1000 G St Ste 125
Sacramento, CA 95814-0894 - Phone
- (888) 588-8995
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 112843 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | 94773 | CA |
Addresses
Primary practice location
1000 G St Ste 125
Sacramento, CA 95814-0894
Mailing address
PO Box 666
Napa, CA 94559-0666
Other practice location 1
710 S Broadway Ste 300
Walnut Creek, CA 94596-5229
Phone (925) 295-4145
Other practice location 2
650 Imperial Way
Napa, CA 94559
Phone (707) 255-0966
Other names 1
- Lauren Ellis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112843 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foresight Mental Health | Marriage & Family Therapist | Current | Accepting new patients |
Locations
1000 G St
Ste 125
Sacramento, CA 95814
Phone (510) 345-4379
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": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1700368974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 666",
"city": "NAPA",
"state": "CA",
"postal_code": "945590666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 G ST STE 125",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958140894",
"telephone_number": "888-588-8995"
}
],
"practiceLocations": [
{
"address_1": "710 S Broadway Ste 300",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945965229",
"country_code": "US",
"telephone_number": "925-295-4145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "650 Imperial Way",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "94559",
"country_code": "US",
"telephone_number": "707-255-0966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIS-HANSON",
"first_name": "LAUREN",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "112843",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "94773",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "ELLIS",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.