Individual provider Active NPI

Raul Alberto Yepez

  • Marriage & Family Therapist
  • Citrus Heights, CA
National Provider Identifier
1962835140
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
139602 Issued in CA
Practice address
8421 Auburn Blvd Ste 110
Citrus Heights, CA 95610-0392
Phone
(916) 531-8359
NPI assigned
Aug 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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 139602 CA Primary

Addresses

Primary practice location

8421 Auburn Blvd Ste 110
Citrus Heights, CA 95610-0392

Mailing address

8204 Bryant Dr
Bethesda, MD 20817-3135
Phone (301) 367-3659

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
I20240123001119 CA Practitioner - Marriage and Family Therapist 8022460393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
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

Practice roles

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

Locations

8421 Auburn Blvd
Ste 110
Citrus Heights, CA 95610
Phone (800) 464-4709

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": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1962835140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 BRYANT DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173135",
            "telephone_number": "301-367-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 AUBURN BLVD STE 110",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956100392",
            "telephone_number": "916-531-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEPEZ",
        "first_name": "RAUL",
        "middle_name": "ALBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-12",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.