Individual provider Active NPI

Aaron Moncivaiz, AMFT

  • Marriage & Family Therapist
  • Fair Oaks, CA
National Provider Identifier
1992667695
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
4070 Bridge St Ste 3
Fair Oaks, CA 95628-7557
Phone
(415) 320-0141
NPI assigned
Dec 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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 CA Primary

Addresses

Primary practice location

4070 Bridge St Ste 3
Fair Oaks, CA 95628-7557

Mailing address

4070 Bridge St Ste 3
Fair Oaks, CA 95628-7557
Phone (415) 320-0141

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sactown Therapy LLC Marriage & Family Therapist CurrentSince Dec 7, 2025 Accepting new patients
Kellen R. Grayson Psy.D. LMFT Inc. Marriage & Family Therapist PastSince Dec 7, 2025 Accepting new patients

Locations

4070 Bridge St
Ste 3
Fair Oaks, CA 95628
Phone (415) 320-0141

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": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1992667695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 BRIDGE ST STE 3",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287557",
            "telephone_number": "415-320-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 BRIDGE ST STE 3",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287557",
            "telephone_number": "415-320-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCIVAIZ",
        "first_name": "AARON",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.