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NPI Code Detail

MEDICARE: AMY NAVA LMFT

MEDICARE: AMY NAVA LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2101YM0800XMental Health Counselor118631CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11710337720OTHERCAPRIVATE PAY

General Provider Information

NPI Number : 1710337720
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY NAVA LMFT
Provider Business Mailing Address
First Line : 401 VERNON ST STE B
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-2600
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 401 VERNON ST STE B
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-2600
Country : US
Telephone Number : 916-412-4259
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2016
Last Update Date : 02/02/2026

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