Active NPI
Theodore Gehrig
- Marriage & Family Therapist
- Lincoln, CA
National Provider Identifier
1962554360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT45296
- Practice address
- 427 A St Ste 400
Lincoln, CA 95648-1976 - Phone
- (916) 408-6946
- Fax
- (916) 645-3311
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT45296 | CA | Primary |
Addresses
Primary practice location
427 A St Ste 400
Lincoln, CA 95648-1976
Mailing address
427 A St Ste 400
Lincoln, CA 95648-1976
Phone (916) 645-3300
Other names 1
- Mr. Ted Gehrig
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8421 Auburn Blvd
Suite 110
Citrus Heights, CA 95610-0392
Phone (916) 531-8359
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT45296 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lumen Health and Psychological Services Inc. | Current | Accepting new patients | |
| Lighthouse Counseling and Family Resource Center | Marriage & Family Therapist | Past | Accepting new patients |
Locations
8421 Auburn Blvd
Ste 110
Citrus Heights, CA 95610
Phone (800) 464-4709
3508 Cody Way
Ste 100H
Sacramento, CA 95864
Phone (916) 531-8359
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.
-
- Clinical Psychologist
- Citrus Heights, CA
- NPI 1366978843
-
- Marriage & Family Therapist
- Lincoln, CA
- NPI 1659880946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512950400000",
"number": "1962554360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 A ST STE 400",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956481976",
"telephone_number": "916-645-3300",
"fax_number": "916-645-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 A ST STE 400",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956481976",
"telephone_number": "916-408-6946",
"fax_number": "916-645-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEHRIG",
"first_name": "THEODORE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2017-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT45296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TED",
"last_name": "GEHRIG",
"prefix": "MR.",
"credential": "LMFT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lincoln, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.