Individual provider Active NPI

Jason Hamlin, MA

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1740834415
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
112022 Issued in CA
Practice address
1430 Alhambra Blvd
Suite 200
Sacramento, CA 95816
Phone
(916) 941-5490
Fax
(916) 780-1058
NPI assigned
Jul 30, 2019
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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 112022 CA Primary

Addresses

Primary practice location

1430 Alhambra Blvd
Suite 200
Sacramento, CA 95816

Mailing address

1528 Eureka Rd Ste 101
Roseville, CA 95661-3047
Phone (916) 780-1059

Other practice location 1

1528 Eureka Rd Ste 101
Roseville, CA 95661-3047
Phone (916) 780-1059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
112022CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope; Healthy Outcomes for Personal Enrichment Counseling Center CurrentSince Sep 29, 2019 Accepting new patients
Hope; Healthy Outcomes for Personal Enrichment Counseling Center PastSince Aug 6, 2019 Accepting new patients

Locations

1528 Eureka Rd
Ste 101
Roseville, CA 95661
Phone (916) 759-2756

1430 Alhambra Blvd
Ste 200
Sacramento, CA 95816
Phone (916) 557-0101

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1740834415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 EUREKA RD STE 101",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613047",
            "telephone_number": "916-780-1059",
            "fax_number": "916-780-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 ALHAMBRA BLVD",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816",
            "telephone_number": "916-941-5490",
            "fax_number": "916-780-1058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 Eureka Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613047",
            "country_code": "US",
            "telephone_number": "916-780-1059",
            "fax_number": "916-750-1058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "JASON",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.