Individual provider Active NPI

Anthony Hill, PASTORAL COUNSELING

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1740411065
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT145730 Issued in CA
Practice address
751 Central Park Dr Apt 212
Roseville, CA 95678-3515
Phone
(209) 271-0880
NPI assigned
Aug 4, 2009
Reactivated
Dec 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X L11402552 CA
Professional Counselor 101YP2500X 208103459 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X 06332 CA
Marriage & Family Therapist 106H00000X AMFT145730 CA Primary

Addresses

Primary practice location

751 Central Park Dr Apt 212
Roseville, CA 95678-3515

Mailing address

3941 Park Dr # 20670
El Dorado Hills, CA 95762-4549
Phone (916) 275-5504

Other practice location 1

3941 Park Dr # 20670
El Dorado Hills, CA 95762-4549
Phone (916) 275-5504

Other identifiers 2

IdentifierTypeStateIssuer
1730319609OtherCAAMERICAN ACADEMY OF PAIN MANAGEMENT
AMFT145730OtherCABOARD OF BEHAVIORAL SCIENCE DEPARTMENT OF CONSUMER AFFAIRS

Other names 1

  • Tony Hill Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
06332CAMDAddiction (Substance Use Disorder) Counselor
L11402552CAMDPastoral Counselor
208103459CAMDProfessional Counselor
AMFT145730CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Stonegate 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.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1740411065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 PARK DR # 20670",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624549",
            "telephone_number": "916-275-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 CENTRAL PARK DR APT 212",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783515",
            "telephone_number": "209-271-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3941 Park Dr # 20670",
            "address_purpose": "LOCATION",
            "city": "El Dorado Hills",
            "state": "CA",
            "postal_code": "957624549",
            "country_code": "US",
            "telephone_number": "916-275-5504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PASTORAL COUNSELING",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-04",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "deactivation_date": "2014-04-15",
        "reactivation_date": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "CA",
            "license": "L11402552",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "208103459",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "06332",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT145730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF PAIN MANAGEMENT",
            "identifier": "1730319609",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCE DEPARTMENT OF CONSUMER AFFAIRS",
            "identifier": "AMFT145730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "HILL",
            "credential": "AMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.