Individual provider Active NPI

Mandisa Gayneil Pittmon-Stepter, LMFT

  • Marriage & Family Therapist
  • West Sacramento, CA
National Provider Identifier
1851534051
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
107257 Issued in CA
Practice address
3960 Industrial Blvd Ste 600
West Sacramento, CA 95691-3496
Phone
(916) 584-9395
NPI assigned
Apr 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 107257 CA Primary
Mental Health Counselor 101YM0800X 107257 CA
Mental Health Counselor 101YM0800X 4100-R NV

Addresses

Primary practice location

3960 Industrial Blvd Ste 600
West Sacramento, CA 95691-3496

Mailing address

3960 Industrial Blvd Ste 600
West Sacramento, CA 95691-3496
Phone (916) 584-9395

Other practice location 1

910 Florin Rd Ste 104
Sacramento, CA 95831-3568
Phone (916) 584-9395 ext. 91658

Other practice location 2

9412 Big Horn Blvd
ste 6
Elk Grove, CA 95758-1101
Phone (916) 226-2800

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
4100-RNVMDMental Health Counselor
107257CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mandisa Pittmon LMFT Marriage and Family Therapist Inc CurrentSince Apr 6, 2023 Accepting new patients

Locations

3960 Industrial Blvd
Ste 200
West Sacramento, CA 95691
Phone (916) 287-3510

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.

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1851534051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 INDUSTRIAL BLVD STE 600",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913496",
            "telephone_number": "916-584-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 INDUSTRIAL BLVD STE 600",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913496",
            "telephone_number": "916-584-9395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Florin Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958313568",
            "country_code": "US",
            "telephone_number": "916-584-9395 x91658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9412 Big Horn Blvd",
            "address_2": "ste 6",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957581101",
            "country_code": "US",
            "telephone_number": "916-226-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMON-STEPTER",
        "first_name": "MANDISA",
        "middle_name": "GAYNEIL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "107257",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "107257",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "4100-R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.