Individual provider Active NPI

Koryn Marshall

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1962881870
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
86263 Issued in CA
Practice address
8950 Cal Center Drive, BLDG. 2
Suite 340
Sacramento, CA 95826-3225
Phone
(916) 254-5200
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 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 86263 CA Primary

Addresses

Primary practice location

8950 Cal Center Drive, BLDG. 2
Suite 340
Sacramento, CA 95826-3225

Mailing address

8950 Cal Center Drive, BLDG. 2
Suite 340
Sacramento, CA 95826-3225
Phone (916) 254-5200

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

LicenseStateTypeSpecialty
86263CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Family Services, Inc CurrentSince Dec 17, 2023 Accepting new patients
Victor Community Support Services, Inc. Past Accepting new patients

Locations

8950 Cal Center Dr
Ste 340
Sacramento, CA 95826
Phone (916) 254-5200

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1962881870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 CAL CENTER DRIVE, BLDG. 2",
            "address_2": "SUITE 340",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263225",
            "telephone_number": "916-254-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 CAL CENTER DRIVE, BLDG. 2",
            "address_2": "SUITE 340",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263225",
            "telephone_number": "916-254-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KORYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86263",
            "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 11, 2023; 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.