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NATHAN SHAWN PERALTA THEPHAVONGSA
NPI 1912630450
Marriage & Family Therapist in Sacramento, CA

Active since July 01, 2022
5445 LAUREL HILLS DR, SACRAMENTO, CA 95841(916) 609-5100 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2026, Feb 21, 2025, Sep 27, 2022 and 1 more (4 updates tracked since 2022).

About Nathan Shawn Peralta Thephavongsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN SHAWN PERALTA THEPHAVONGSA (NPI 1912630450) is an individual marriage & family therapist in Sacramento, California, licensed in California (151868) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1912630450
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameNATHAN SHAWN PERALTA THEPHAVONGSA
Location Address5445 LAUREL HILLS DRSacramento, CA 95841-3105
Mailing Address3341 Jami CtRoseville, CA 95747-9149 · (408) 438-7827
Phone(916) 609-5100
Sole ProprietorNo
Enumeration DateJuly 1, 2022
Last NPPES UpdateMarch 5, 20264 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1912630450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 151868
Definition
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.
5445 LAUREL HILLS DR, Sacramento, CA 95841
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVER OAK CENTER FOR CHILDREN
Residential Treatment Facility, Emotionally Disturbed Children
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 609-4235
MS. AMARJARGAL DASHNYAM
Rehabilitation Practitioner
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 281-1566
NATHALY VILLASENOR RODRIGUEZ
Case Manager/Care Coordinator
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 609-5100
TIFFANY MOORE
Case Manager/Care Coordinator
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 609-5100
MRS. JANNIS SHIBASAKI COOK AMFT
Marriage & Family Therapist
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 609-5100
KENDY KAYTE TUAZON
Case Manager/Care Coordinator
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 609-5100
KYLE WILLIAM SILVER
Military Health Care Provider
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 609-5153
RAINA COLE M.S.
Counselor (Mental Health)
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841
Sacramento County (916) 609-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Shawn Thephavongsa's NPI number?

The NPI number for Nathan Shawn Thephavongsa is 1912630450. It was assigned to this individual provider in the NPPES registry on July 1, 2022.

Where is Nathan Shawn Thephavongsa located?

Nathan Shawn Thephavongsa practices at 5445 Laurel Hills Dr, Sacramento, CA 95841. The listed phone number is (916) 609-5100.

What is Nathan Shawn Thephavongsa's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Nathan Shawn Thephavongsa was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.