Individual provider Active NPI

John Siemens, M.F.T.

  • Marriage & Family Therapist
  • Atascadero, CA
National Provider Identifier
1720151822
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
28221 Issued in CA
Practice address
5955 Capistrano Ave
Suite E
Atascadero, CA 93422-7227
Phone
(805) 466-4892
NPI assigned
Nov 16, 2006
Sex
Male
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 28221 CA Primary

Addresses

Primary practice location

5955 Capistrano Ave
Suite E
Atascadero, CA 93422-7227

Mailing address

5955 Capistrano Ave
Suite E
Atascadero, CA 93422-7227
Phone (805) 466-4892

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
28221CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720151822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 CAPISTRANO AVE",
            "address_2": "SUITE E",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934227227",
            "telephone_number": "805-466-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 CAPISTRANO AVE",
            "address_2": "SUITE E",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934227227",
            "telephone_number": "805-466-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMENS",
        "first_name": "JOHN",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "28221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, 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.