Active NPI
Samantha Perkins, LMFT
- Marriage & Family Therapist
- Roseville, CA
National Provider Identifier
1093189235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 93653
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 93653 | CA | MD | Marriage & Family Therapist |
| 72846 | CA | MD | Pharmacist |
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.