Active NPI
Nancy Jane Taylor, MFT
- Marriage & Family Therapist
- Auburn, CA
National Provider Identifier
1710096342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT 45605
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFT 45605 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Grass Valley, CA
- NPI 1750500237
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.