Individual provider Active NPI

Emelly Rosspencer, LMFT

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1043751506
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF98407 Issued in CA
Practice address
47 1St St
Redlands, CA 92373-4688
Phone
(909) 855-7081
NPI assigned
Mar 17, 2017
Last updated
May 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
114468CAMDClinical Social Worker
IMF98407CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emelly Rosspencer Licensed Marriage & Family Therapist Inc Marriage & Family Therapist CurrentSince Sep 20, 2022 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.

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

Verify at the official NPI Registry.