Individual provider Active NPI

Nancy M Sallee, M.A., M.F.T.

  • Mental Health Counselor
  • Pinole, CA
National Provider Identifier
1972672954
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC38611 Issued in CA
Practice address
759 Appian Way
Pinole, CA 94564-2470
Phone
(510) 367-7179
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC38611 CA Primary
Mental Health Counselor 101YM0800X MFT 154 HI

Addresses

Primary practice location

759 Appian Way
Pinole, CA 94564-2470

Mailing address

5841 McBryde Ave
Richmond, CA 94805-1150
Phone (510) 215-1009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20240710000160 HI Practitioner - Marriage and Family Therapist 6002351475 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC38611CAMDMental Health Counselor
MFT 154HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orchid Isle Hawai'I, Inc CurrentSince Jun 14, 2024 Accepting new patients

Locations

75-5995 Kuakini Hwy
Kailua Kona, HI 96740
Phone (808) 329-2500

75-5995 Kuakini Hwy
Ste 900
Kailua Kona, HI 96740
Phone (808) 333-8988

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972672954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 MCBRYDE AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948051150",
            "telephone_number": "510-215-1009",
            "fax_number": "510-215-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 APPIAN WAY",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642470",
            "telephone_number": "510-367-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEE",
        "first_name": "NANCY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.A., M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC38611",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MFT 154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

Verify at the official NPI Registry.