Individual provider Active NPI

Darlene Anne Davis, LMFT

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1083765291
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2540 Douglas Blvd Ste 200
Roseville, CA 95661-3946
Phone
(916) 248-2436
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary
Marriage & Family Therapist 106H00000X 40875 CA

Addresses

Primary practice location

2540 Douglas Blvd Ste 200
Roseville, CA 95661-3946

Mailing address

2540 Douglas Blvd Ste 200
Roseville, CA 95661-3946
Phone (916) 248-2436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 30, 2025 through Dec 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40875CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope; Healthy Outcomes for Personal Enrichment Counseling Center CurrentSince Sep 29, 2024 Accepting new patients
Hope; Healthy Outcomes for Personal Enrichment Counseling Center PastSince Sep 29, 2019 Accepting new patients

Locations

2540 Douglas Blvd
Ste 200
Roseville, CA 95661
Phone (916) 248-2436

1430 Alhambra Blvd
Ste 200
Sacramento, CA 95816
Phone (916) 572-6410

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1083765291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 DOUGLAS BLVD STE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613946",
            "telephone_number": "916-248-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 DOUGLAS BLVD STE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613946",
            "telephone_number": "916-248-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DARLENE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "40875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.