Individual provider Active NPI

Victoria Wuest

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1720340318
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
110999 Issued in CA
Practice address
1411 Yuba St
Redding, CA 96001-1010
Phone
(530) 229-8095
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 90021 CA
Marriage & Family Therapist 106H00000X 110999 CA Primary

Addresses

Primary practice location

1411 Yuba St
Redding, CA 96001-1010

Mailing address

1313 Yuba St
Redding, CA 96001-1012
Phone (530) 229-8095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412001845 CA Practitioner - Marriage and Family Therapist 1658710454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of ShastaGroup PAC ID 8820081581, 12 clinicians

Practice addresses (Care Compare)

2640 Breslauer Way
Redding, CA 96001-4246
Phone (530) 225-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110999CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Shasta CurrentSince Feb 7, 2024 Accepting new patients
County of Shasta CurrentSince Feb 7, 2024 Accepting new patients
County of Shasta PastSince Feb 7, 2021 Accepting new patients
Children & Family Services PastSince Feb 7, 2021 Accepting new patients

Locations

2640 Breslauer Way
Redding, CA 96001
Phone (530) 225-5252

Organizations & group practices 4

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1720340318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 YUBA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011012",
            "telephone_number": "530-229-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 YUBA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011010",
            "telephone_number": "530-229-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUEST",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90021",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.