Active NPI
Emelly Rosspencer, LMFT
- Marriage & Family Therapist
- Redlands, CA
National Provider Identifier
1043751506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF98407
- Practice address
- 47 1St St
Redlands, CA 92373-4688 - Phone
- (909) 855-7081
- NPI assigned
- Mar 17, 2017
- Last updated
- May 17, 2022
- Sex
- Female
- Sole proprietor
- No
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 | IMF98407 | CA | Primary |
Addresses
Primary practice location
47 1St St
Redlands, CA 92373-4688
Mailing address
PO Box 8484
Redlands, CA 92375-1684
Phone (909) 855-7081
Other practice location 1
101 E Redlands Blvd
Ste 215
Redlands, CA 92373-4775
Phone (909) 793-1078
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114468 | CA | MD | Clinical Social Worker |
| IMF98407 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emelly Rosspencer Licensed Marriage & Family Therapist Inc | Marriage & Family Therapist | Current | Accepting new patients |
Locations
47 1st St
Redlands, CA 92373
Phone (909) 422-7409
47 1st St
Ste B
Redlands, CA 92373
Phone (909) 855-7081
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Redlands, CA
- NPI 1689396277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1043751506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8484",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923751684",
"telephone_number": "909-855-7081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 1ST ST",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734688",
"telephone_number": "909-855-7081"
}
],
"practiceLocations": [
{
"address_1": "101 E Redlands Blvd",
"address_2": "Ste 215",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923734775",
"country_code": "US",
"telephone_number": "909-793-1078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSSPENCER",
"first_name": "EMELLY",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-17",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF98407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.