MS. CONNIE JEANINE VAN SICKLE (NPI# 1679590475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679590475 |
| Entity Type | Individual |
| Full Name | MS. CONNIE JEANINE VAN SICKLE |
| Credential | LMFT |
| Practice Address |
3201 Florin Perkins Rd Sacramento CA 95826-3900 |
| Mailing Address |
4929 Boyd Dr Carmichael CA 95608-4917 |
| Practice Telephone | 9168750579 |
| Practice Fax Number | 9168750578 |
| Mailing Telephone | 9164871898 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 27202 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3201 FLORIN PERKINS RD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95826-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447705652 | Fernay Jackson | Registered Nurse | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2016-08-17 |
| 1023473097 | Graham Sargent | Counselor | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2015-12-17 |
| 1346614559 | Larry Dwayne Craig | Counselor | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2015-11-25 |
| 1558735944 | Regina Blackwell | Counselor | 3201 Florin Perkins Rd, Sacramento, CA 95827 | 2015-11-23 |
| 1366815847 | Wellspace Health | Case Management | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2015-11-05 |
| 1770956245 | Felipe Gamez Sr. | Case Manager/Care Coordinator | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2015-11-05 |
| 1942670914 | County of Sacramento | Clinic/Center | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2015-10-02 |
| 1659757813 | Tamara Alton | Marriage & Family Therapist | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2015-08-10 |
| 1386960300 | Aleksander Podlubny | Marriage & Family Therapist | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2010-04-15 |
| 1255407870 | County of Sacramento | Clinic/Center | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2006-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688094 | Brooke Oliver | Behavior Technician | Sacramento 8801 Folsom Blvd., Ste. 195, Sacramento, CA 95826 | 2020-01-10 |
| 1679126908 | Albert Einstein Middle School /sacramento City Unified School District | Local Education Agency (LEA) | 9325 Mirandy Drive, Albert Einstein Middle School, Sacramento, CA 95826 | 2019-07-16 |
| 1487146833 | Sarah Collins | Counselor | 4212 Westporter Dr, Sacramento, CA 95826 | 2018-06-01 |
| 1831609221 | Stacey Ann Moote | Behavior Technician | 8795 La Riviera Dr 169, 169, Sacramento, CA 95826 | 2017-10-11 |
| 1033649041 | Joseph Stephen Rapozo | Counselor | 3600 Power Inn Road, Sacramento, CA 95826 | 2017-06-13 |
| 1497201289 | Maureen Belli-bomgardner | Counselor | 3201 Florin Perkins Road, Sacramento, CA 95826 | 2016-08-31 |
| 1316317613 | Tlcs, Inc. | Community/Behavioral Health | 9342 Tech Center Drive, Ste.600, Sacramento, CA 95826 | 2015-09-29 |
| 1942683479 | Tlcs, Inc. | Community/Behavioral Health | 9333 Tech Center Drive, Ste. 100, Sacramento, CA 95826 | 2015-07-01 |
| 1881071157 | Rene Frentzen | Case Manager/Care Coordinator | 9394 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2015-05-06 |
| 1184026262 | Bojana Pandurevic | Marriage & Family Therapist | 9343 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2014-09-21 |
| Find all providers in zip 95826 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982229 | Kira Schetter | Marriage & Family Therapist | 2 Lido Cir, Sacramento, CA 95826-1613 | 2020-11-02 |
| 1730788829 | Amanda Lee Morgan | Marriage & Family Therapist | 3650 Auburn Blvd Ste 208c, Sacramento, CA 95821-2069 | 2020-10-20 |
| 1548878853 | John Wunderley | Marriage & Family Therapist | 5311 D St, Sacramento, CA 95819-3011 | 2020-07-22 |
| 1871115881 | Stacia Ponce | Marriage & Family Therapist | 5332 Calistoga Way, Sacramento, CA 95841-2104 | 2020-05-12 |
| 1376164566 | Kirsten Leitner, Licensed Marriage & Family Therapist, A Prof. Corp. | Marriage & Family Therapist | 2830 I St Ste 306, Sacramento, CA 95816-4311 | 2020-04-29 |
| 1558990317 | Dr. J. Marriage & Family Therapy Inc. | Marriage & Family Therapist | 9845 Horn Rd Ste 190, Sacramento, CA 95827-1948 | 2020-04-03 |
| 1578197257 | Christopher Quiery | Marriage & Family Therapist | 3741 Bridgehaven Way, Sacramento, CA 95834-1677 | 2020-03-03 |
| 1881239333 | Deborah Kjeldsen | Marriage & Family Therapist | 1731 I St Ste 202, Sacramento, CA 95811-3001 | 2019-11-08 |
| 1457993172 | Melissa Alvarez Fernandez | Marriage & Family Therapist | 4438 62nd St, Sacramento, CA 95820-4242 | 2019-10-15 |
| 1942850359 | Paul Hyppolite | Marriage & Family Therapist | 10 Tanfield Ct, Sacramento, CA 95833-2602 | 2019-09-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95826 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.