Active NPI
Oliver Lloyd Slate-Greene
- Mental Health Counselor
- Sacramento, CA
National Provider Identifier
1871309385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AMFT151579
- Practice address
- 601 University Ave Ste 280
Sacramento, CA 95825-6745 - Phone
- (530) 913-7221
- NPI assigned
- Dec 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AMFT151579 | CA | Primary |
Addresses
Primary practice location
601 University Ave Ste 280
Sacramento, CA 95825-6745
Mailing address
2474 41St St
Sacramento, CA 95817-2123
Phone (917) 710-6395
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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT151579 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Family Therapy Centers, Inc. | Current | Accepting new patients |
Locations
601 University Ave
Ste 280
Sacramento, CA 95825
Phone (530) 913-7221
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.
-
- Marriage & Family Therapist
- Grass Valley, CA
- NPI 1336648385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1871309385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2474 41ST ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172123",
"telephone_number": "917-710-6395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 UNIVERSITY AVE STE 280",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256745",
"telephone_number": "530-913-7221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATE-GREENE",
"first_name": "OLIVER",
"middle_name": "LLOYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-09",
"certification_date": "2024-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT151579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.