Individual provider Active NPI

Cassidy Gutoman, MA, LMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1922565902
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
158380 Issued in CA
Practice address
3820 Auburn Blvd Ste 100
Sacramento, CA 95821-2124
Phone
(916) 238-6012
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 158380 CA Primary

Addresses

Primary practice location

3820 Auburn Blvd Ste 100
Sacramento, CA 95821-2124

Mailing address

3820 Auburn Blvd Ste 100
Sacramento, CA 95821-2124
Phone (916) 238-6012

Other practice location 1

3400 Broadway Ste 270
Sacramento, CA 95817-2858
Phone (916) 238-6012

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
158380CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Domingo Therapy a Marriage and Family Therapy Professional Corporation Mental Health Past Accepting new patients

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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1922565902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 AUBURN BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212124",
            "telephone_number": "916-238-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 AUBURN BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212124",
            "telephone_number": "916-238-6012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Broadway Ste 270",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172858",
            "country_code": "US",
            "telephone_number": "916-238-6012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTOMAN",
        "first_name": "CASSIDY",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "158380",
            "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 Oct 1, 2025; 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.