Organization Active NPI

Innerlight Therapy

  • Marriage & Family Therapist
  • Nevada City, CA
National Provider Identifier
1841900016
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
INNERLIGHT THERAPY
Practice address
206 Sacramento St Ste 204
Nevada City, CA 95959-2633
Phone
(530) 277-3998
Fax
(866) 834-9865
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Michelle Tracy, LMFTNPI 1124455316
Title
Owner
Phone
(530) 277-3998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

206 Sacramento St Ste 204
Nevada City, CA 95959-2633

Mailing address

206 Sacramento St Ste 204
Nevada City, CA 95959-2633
Phone (530) 277-3998

Other identifiers 1

IdentifierTypeStateIssuer
1124455316MedicaidCA

National Provider Directory

National Provider Directory

Locations

206 Sacramento St
Ste 204
Nevada City, CA 95959
Phone (408) 219-0684

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1841900016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SACRAMENTO ST STE 204",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592633",
            "telephone_number": "530-277-3998",
            "fax_number": "866-834-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SACRAMENTO ST STE 204",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592633",
            "telephone_number": "530-277-3998",
            "fax_number": "866-834-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERLIGHT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-277-3998",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124455316",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.