Individual provider Active NPI

David Christopher Rockman, MFT PRACTICUM STUDEN

  • Mental Health Counselor
  • Mission Viejo, CA
National Provider Identifier
1063968188
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
26137 La Paz Rd
Mission Viejo, CA 92691-5319
Phone
(949) 595-8610
Fax
(949) 595-0296
NPI assigned
Aug 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

26137 La Paz Rd
Mission Viejo, CA 92691-5319

Mailing address

26137 La Paz Rd
Mission Viejo, CA 92691-5319
Phone (949) 595-8610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250120000183 CA Practitioner - Marriage and Family Therapist 1658800719 Practice locations: Dana Point, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Dana Point, CA 92629
Phone (949) 230-7254

48 San Raphael
Dana Point, CA 92629-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1063968188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26137 LA PAZ RD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915319",
            "telephone_number": "949-595-8610",
            "fax_number": "949-595-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26137 LA PAZ RD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915319",
            "telephone_number": "949-595-8610",
            "fax_number": "949-595-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKMAN",
        "first_name": "DAVID",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "MFT PRACTICUM STUDEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.