Samuel Lyle Stewart

Primary specialty

CounselorTaxonomy code 101Y00000X

License

APCC12571 Issued in CA

Practice address

10940 Fair Oaks Blvd Ste 600
Fair Oaks, CA 95628-5958

Phone

(916) 426-2757

NPI assigned

May 2, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 27, 2025 through May 27, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Relationship and Marriage Therapy Center: a Professional Corporation

  • Marriage & Family Therapist
  • Fair Oaks, CA
  • NPI 1407339591
  NPD

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1750138145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 E ROSEVILLE PKWY APT 718",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616427",
            "telephone_number": "916-704-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 FAIR OAKS BLVD STE 600",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285958",
            "telephone_number": "916-426-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SAMUEL",
        "middle_name": "LYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "APCC12571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ursula Rita Stehle, PHD
• Brittany Ellen Steiner, AMFT
• Kevin Stern
• Sydney Miriam Esther Stern
• Geneva Lee Steward
• Danielle Still
• Dean Walter Stoller, M.D.
• Michael James Martin Stormes, NP
• Clifford J Straehley III, M.D.
• Tawni Michelle Straw, PHARMD

• Counselor in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.

Verify at the official NPI Registry.