Active NPI
Erin Andersen, MA, LMFT
- Marriage & Family Therapist
- Santa Rosa, CA
National Provider Identifier
1013308782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC83687
- Practice address
- 865 3Rd St Ste 202
Santa Rosa, CA 95404-4519 - Phone
- (707) 596-0494
- Fax
- (707) 595-5765
- NPI assigned
- Feb 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC83687 | CA | Primary |
Addresses
Primary practice location
865 3Rd St Ste 202
Santa Rosa, CA 95404-4519
Mailing address
865 3Rd St
Suite 202
Santa Rosa, CA 95404-4515
Phone (707) 596-0494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC83687 | CA | MD | Marriage & Family Therapist |
| 83687 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1013308782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 3RD ST",
"address_2": "SUITE 202",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044515",
"telephone_number": "707-596-0494",
"fax_number": "707-595-5765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 3RD ST STE 202",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044519",
"telephone_number": "707-596-0494",
"fax_number": "707-595-5765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "ERIN",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-16",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC83687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.