Individual provider Active NPI

Beverly Diane Baldwin, MFTI

  • Marriage & Family Therapist
  • Folsom, CA
National Provider Identifier
1790023828
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
102663 Issued in CA
Practice address
1845 Iron Point Rd Ste 180
Folsom, CA 95630-8835
Phone
(916) 847-6427
NPI assigned
Jan 24, 2013
Last updated
Dec 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 70101 CA
Marriage & Family Therapist 106H00000X 102663 CA Primary

Addresses

Primary practice location

1845 Iron Point Rd Ste 180
Folsom, CA 95630-8835

Mailing address

3297 Tea Rose Dr
El Dorado Hills, CA 95762-6568
Phone (916) 847-6427

Other practice location 1

6147 Sutter Ave
Carmichael, CA 95608-2738
Phone (916) 847-6427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102663CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
American River Marriage and Family Counseling Marriage & Family Therapist Current Accepting new patients
American River Counseling LLC Current Accepting new patients
American River Counseling Marriage & Family Therapist CurrentSince Dec 22, 2019 Accepting new patients

Locations

1845 Iron Point Rd
Ste 180
Folsom, CA 95630
Phone (916) 847-5328

Organizations & group practices 3

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": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1790023828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3297 TEA ROSE DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957626568",
            "telephone_number": "916-847-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 IRON POINT RD STE 180",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308835",
            "telephone_number": "916-847-6427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6147 Sutter Ave",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956082738",
            "country_code": "US",
            "telephone_number": "916-847-6427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "BEVERLY",
        "middle_name": "DIANE",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "70101",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.