Individual provider Active NPI

Audrey Schoen, LMFT

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1063883049
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
93948 Issued in CA
Practice address
210 Estates Dr Ste 109
Roseville, CA 95678-2300
Phone
(916) 469-5591
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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 93948 CA Primary

Addresses

Primary practice location

210 Estates Dr Ste 109
Roseville, CA 95678-2300

Mailing address

101 Creekside Ridge CT Ste 210
Roseville, CA 95678-3595
Phone (916) 469-5591

Other names 1

  • Audrey Womack Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 1, 2024 through Feb 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audrey Schoen LMFT Licensed Marriage and Family Therapist a Profession CurrentSince Dec 21, 2021 Accepting new patients

Locations

210 Estates Dr
Ste 109
Roseville, CA 95678
Phone (530) 767-4637

101 Creekside Ridge Ct
Ste 210
Roseville, CA 95678

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": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1063883049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CREEKSIDE RIDGE CT STE 210",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783595",
            "telephone_number": "916-469-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ESTATES DR STE 109",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782300",
            "telephone_number": "916-469-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEN",
        "first_name": "AUDREY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "WOMACK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.