Active NPI
Anna Stewart, LMFT
- Marriage & Family Therapist
- Elk Grove, CA
National Provider Identifier
1720477441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 84609
- Practice address
- 8788 Elk Grove Blvd
BLDG 3, Ste 12B
Elk Grove, CA 95624 - Phone
- (916) 612-4610
- NPI assigned
- Jan 19, 2015
- 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 | 84609 | CA | Primary |
Addresses
Primary practice location
8788 Elk Grove Blvd
BLDG 3, Ste 12B
Elk Grove, CA 95624
Mailing address
8788 Elk Grove Blvd
BLDG 3, Ste 12B
Elk Grove, CA 95624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 19, 2024 through Jan 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84609 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1720477441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8788 ELK GROVE BLVD",
"address_2": "BLDG 3, STE 12B",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "95624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8788 ELK GROVE BLVD",
"address_2": "BLDG 3, STE 12B",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "95624",
"telephone_number": "916-612-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "ANNA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-19",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "84609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.