Individual provider Active NPI

Jiraporn Dow Angspatt, MFT, ED.D

  • Marriage & Family Therapist
  • Weaverville, CA
National Provider Identifier
1992945489
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MPC46529 Issued in CA
Practice address
903 Main St.
Weaverville, CA 96093-2221
Phone
(530) 623-0462
NPI assigned
Feb 24, 2009
Last updated
Aug 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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 MPC46529 CA Primary

Addresses

Primary practice location

903 Main St.
Weaverville, CA 96093-2221

Mailing address

PO 2221
Weaverville, CA 96093-2221
Phone (530) 623-0462

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
I20240123003325 CA Practitioner - Marriage and Family Therapist 2668824889 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MPC46529CAMDMarriage & Family Therapist
46529CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Rancheria Current Accepting new patients
Redding Rancheria CurrentSince Jan 1, 2024 Accepting new patients
Redding Rancheria CurrentSince Jan 1, 2024 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1992945489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO 2221",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "960932221",
            "telephone_number": "530-623-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 MAIN ST.",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "960932221",
            "telephone_number": "530-623-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGSPATT",
        "first_name": "JIRAPORN",
        "middle_name": "DOW",
        "name_prefix": "Dr.",
        "credential": "MFT, ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MPC46529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, CA

Sources for this page

Verify at the official NPI Registry.