Individual provider Active NPI

Theodore Gehrig

  • Marriage & Family Therapist
  • Lincoln, CA
National Provider Identifier
1962554360
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT45296 Issued in CA
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

Updated by the provider on Dec 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124002003 CA Practitioner - Marriage and Family Therapist 7012360241 Reassigns benefits to 1 organization

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
Lumen Health and Psychological Services Inc.Group PAC ID 5799012266, 26 clinicians

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

LicenseStateTypeSpecialty
LMFT45296CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lumen Health and Psychological Services Inc. CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.