Jiraporn Dow Angspatt, MFT, ED.D
Individual provider Active NPI Marriage & Family Therapist · Weaverville, CA
NPI 1992945489 · NPPES record last updated Aug 20, 2009
Key facts
- NPI
- 1992945489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MPC46529 (CA)
- Practice address
- 903 Main St.
Weaverville, CA 96093-2221 - Phone
- (530) 623-0462
- NPI assigned
- Feb 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240123003325 | CA | Practitioner - Marriage and Family Therapist | 2668824889 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPC46529 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redding Rancheria | Current |
Accepting new patients | |
| Redding Rancheria | Current | Accepting new patients | |
| Redding Rancheria | Current |
Accepting new patients |
Locations
1441 Liberty St
Redding, CA 96001
Phone (530) 224-2700
81 Arbuckle Ct
Weaverville, CA 96093
Phone (530) 623-0021
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MPC46529 | CA | Yes |
Addresses
Primary practice location
903 Main St.
Weaverville, CA 96093-2221
Mailing address
PO 2221
Weaverville, CA 96093-2221
Phone (530) 623-0462
Other providers in Weaverville, CA
- Ronald W Alleson
- Amy Renee Alward
- Claudine Andrade
- Nancy Sickle Antoon
- Julia Lynn Ashton-Boyd
- Carolyn Atterberry
- Melissa Anne Daluz Avila
- Mary Baracco
All providers in Weaverville, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.