Individual provider Active NPI

Chandra Sekhar Potnuru

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1780393314
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT152323 Issued in CA
Practice address
225 30TH St Ste 311
Sacramento, CA 95816-3359
Phone
(916) 870-8586
Fax
(916) 236-3639
NPI assigned
Nov 22, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LMFT152323 CA Primary

Addresses

Primary practice location

225 30TH St Ste 311
Sacramento, CA 95816-3359

Mailing address

9146 E Stockton Blvd # 1039
Elk Grove, CA 95624-9510
Phone (916) 870-8586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250311003042 CA Practitioner - Marriage and Family Therapist 8921529561 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT152323CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Mar 4, 2025 Accepting new patients
Stronger Together Licensed Clinical Social Worker Group, Inc. CurrentSince Nov 27, 2022 Accepting new patients

Locations

9146 E Stockton Blvd
Elk Grove, CA 95624
Phone (209) 730-6425

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1780393314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9146 E STOCKTON BLVD # 1039",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249510",
            "telephone_number": "916-870-8586",
            "fax_number": "916-236-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 30TH ST STE 311",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163359",
            "telephone_number": "916-870-8586",
            "fax_number": "916-236-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTNURU",
        "first_name": "CHANDRA SEKHAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT152323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.