Active NPI
Calista Sordelet, LMFT
- Marriage & Family Therapist
- Roseville, CA
National Provider Identifier
1770748162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC44595
- Practice address
- 3300 Douglas Blvd Ste 190
Roseville, CA 95661-3897 - Phone
- (916) 787-0555
- Fax
- (916) 787-6222
- NPI assigned
- Jul 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | MFC44595 | CA | Primary |
Addresses
Primary practice location
3300 Douglas Blvd Ste 190
Roseville, CA 95661-3897
Mailing address
3300 Douglas Blvd Ste 190
Roseville, CA 95661-3897
Phone (916) 787-0555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 2, 2026 through Feb 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC44595 | CA | MD | Marriage & Family Therapist |
| 44595 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phil Bluemel Family Therapy Inc. | Marriage & Family Therapist | 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.
-
- Marriage & Family Therapist
- Roseville, CA
- NPI 1679966378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1770748162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 DOUGLAS BLVD STE 190",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613897",
"telephone_number": "916-787-0555",
"fax_number": "916-787-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 DOUGLAS BLVD STE 190",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613897",
"telephone_number": "916-787-0555",
"fax_number": "916-787-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORDELET",
"first_name": "CALISTA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-24",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC44595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 24, 2008; 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.