Individual provider Active NPI

Samantha Perkins, LMFT

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1093189235
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
93653 Issued in CA
Practice address
333 Sunrise Ave Ste 701
Roseville, CA 95661-3483
Phone
(916) 223-3917
NPI assigned
Nov 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 72846 CA
Marriage & Family Therapist 106H00000X 93653 CA Primary

Addresses

Primary practice location

333 Sunrise Ave Ste 701
Roseville, CA 95661-3483

Mailing address

333 Sunrise Ave Ste 701
Roseville, CA 95661-3483
Phone (916) 223-3917

Other practice location 1

1133 Coloma Way
Roseville, CA 95661-4480
Phone (916) 774-6647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
93653CAMDMarriage & Family Therapist
72846CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1448582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1093189235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SUNRISE AVE STE 701",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613483",
            "telephone_number": "916-223-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SUNRISE AVE STE 701",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613483",
            "telephone_number": "916-223-3917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 Coloma Way",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956614480",
            "country_code": "US",
            "telephone_number": "916-774-6647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-27",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "72846",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.