Individual provider Active NPI

Michelle Roberts Cherry, MFT

  • Marriage & Family Therapist
  • Los Gatos, CA
National Provider Identifier
1083809693
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
50847 Issued in CA
Practice address
15951 Los Gatos Blvd Ste 13
Los Gatos, CA 95032-3488
Phone
(408) 384-8125
Fax
(408) 402-8363
NPI assigned
Sep 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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 50847 CA Primary

Addresses

Primary practice location

15951 Los Gatos Blvd Ste 13
Los Gatos, CA 95032-3488

Mailing address

15951 Los Gatos Blvd Ste 13
Los Gatos, CA 95032-3488
Phone (408) 384-8125

Other names 1

  • Michelle Nicole Roberts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 29, 2024 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
50847CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1083809693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15951 LOS GATOS BLVD STE 13",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323488",
            "telephone_number": "408-384-8125",
            "fax_number": "408-402-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15951 LOS GATOS BLVD STE 13",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323488",
            "telephone_number": "408-384-8125",
            "fax_number": "408-402-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "MICHELLE",
        "middle_name": "ROBERTS",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ROBERTS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.