TIMOTHY LEE NPI 1730607144

NPI Information

  • NPI: 1730607144
  • Provider Name: TIMOTHY LEE
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Individual
  • Address: 4612 ROOSEVELT AVE
    SACRAMENTO, CA
    ZIP 95820
  • Phone: (916) 379-5876

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NPI Details

Timothy Lee is a marriage family therapist in Sacramento, CA. The provider is 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. Timothy Lee NPI is 1730607144. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4612 ROOSEVELT AVE
SACRAMENTO, CA
ZIP 95820-520
Phone: (916) 379-5876

The enumeration date for this NPI number is 9/6/2017 and was last updated on 3/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3106H00000XMarriage & Family Therapist111330CALIFORNIAYes
4101YM0800XCounselorMental HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11730607144MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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