Individual provider Active NPI

Nancy Jane Taylor, MFT

  • Marriage & Family Therapist
  • Auburn, CA
National Provider Identifier
1710096342
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 45605 Issued in CA
Practice address
12183 Locksley LN Ste 101
Auburn, CA 95602-2050
Phone
(530) 205-5271
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 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 MFT 45605 CA Primary

Addresses

Primary practice location

12183 Locksley LN Ste 101
Auburn, CA 95602-2050

Mailing address

12183 Locksley LN Ste 101
Auburn, CA 95602-2050
Phone (530) 205-5271

Other practice location 1

180 Sierra College Dr
Grass Valley, CA 95945-5768
Phone (530) 205-5271

Other practice location 2

730 Sunrise Avenue
Building 200, Ste-201
Roseville, CA 95661-9566
Phone (916) 782-3737

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
MFT 45605CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Granite Wellness Centers Past 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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1710096342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12183 LOCKSLEY LN STE 101",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022050",
            "telephone_number": "530-205-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12183 LOCKSLEY LN STE 101",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022050",
            "telephone_number": "530-205-5271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Sierra College Dr",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959455768",
            "country_code": "US",
            "telephone_number": "530-205-5271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Sunrise Avenue",
            "address_2": "Building 200, Ste-201",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956619566",
            "country_code": "US",
            "telephone_number": "916-782-3737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NANCY",
        "middle_name": "JANE",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 45605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.