Active NPI
Jason Hamlin, MA
- Marriage & Family Therapist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 112022
- 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, 2019
- Sex
- Male
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 112022 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope; Healthy Outcomes for Personal Enrichment Counseling Center | Current | Accepting new patients | |
| Hope; Healthy Outcomes for Personal Enrichment Counseling Center | Past | 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.
-
- Community/Behavioral Health Agency
- Sacramento, CA
- NPI 1881245215
-
- Community/Behavioral Health Agency
- Roseville, CA
- NPI 1619290467
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.