Active NPI
Jacque A Heintz, LMFT
- Marriage & Family Therapist
- Folsom, CA
National Provider Identifier
1720399298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 88836
- Practice address
- 705 Gold Lake Dr Ste 250
Folsom, CA 95630-2599 - Phone
- (916) 461-1888
- NPI assigned
- Jun 29, 2010
- 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 | 88836 | CA | Primary |
Addresses
Primary practice location
705 Gold Lake Dr Ste 250
Folsom, CA 95630-2599
Mailing address
705 Gold Lake Dr Ste 250
Folsom, CA 95630-2599
Phone (916) 461-1888
Other names 1
- Jacque A Richter
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 |
|---|---|---|---|
| 88836 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1720399298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 GOLD LAKE DR STE 250",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956302599",
"telephone_number": "916-461-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 GOLD LAKE DR STE 250",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956302599",
"telephone_number": "916-461-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINTZ",
"first_name": "JACQUE",
"middle_name": "A",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "88836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUE",
"last_name": "RICHTER",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.