Individual provider Active NPI

Sandor K Stockfleth

  • Mental Health Counselor
  • Eureka, CA
National Provider Identifier
1801336342
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1802 California St
Eureka, CA 95501-2808
Phone
(707) 443-7359
NPI assigned
Mar 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1802 California St
Eureka, CA 95501-2808

Mailing address

1802 California St
Eureka, CA 95501-2808
Phone (707) 443-7359

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
I20251105000325 CA Practitioner - Marriage and Family Therapist 3173013570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Wellness IncorporatedGroup PAC ID 4284075177, 7 clinicians

Practice addresses (Care Compare)

770 11TH St
Arcata, CA 95521-5838
Phone (707) 267-7931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118708CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Wellness Incorporated Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Humboldt Family Service Center Past Accepting new patients

Locations

770 11th St
Arcata, CA 95521
Phone (707) 267-7931

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": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1801336342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 CALIFORNIA ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955012808",
            "telephone_number": "707-443-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 CALIFORNIA ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955012808",
            "telephone_number": "707-443-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKFLETH",
        "first_name": "SANDOR",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.