Organization Active NPI

Santa Rosa Adult & Child Center for Cognitive Behavioral Therapy

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1104131234
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SANTA ROSA ADULT & CHILD CENTER FOR COGNITIVE BEHAVIORAL THERAPY
Practice address
3436 Mendocino Ave Ste C
Santa Rosa, CA 95403-2180
Phone
(707) 545-4600
Fax
(707) 527-4087
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Ms. Litsa R Tanner, MSNPI 1437204716
Title
Director
Phone
(707) 545-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X CA Primary

Addresses

Primary practice location

3436 Mendocino Ave Ste C
Santa Rosa, CA 95403-2180

Mailing address

3436 Mendocino Ave Ste C
Santa Rosa, CA 95403-2180
Phone (707) 545-4600

Other names 1

  • Santa Rosa Center For Cogntive Behavioral Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

319 S E St
Ste B
Santa Rosa, CA 95404
Phone (707) 694-8316

3436 Mendocino Ave
Ste C
Santa Rosa, CA 95403
Phone (707) 545-4600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1104131234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 MENDOCINO AVE STE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032180",
            "telephone_number": "707-545-4600",
            "fax_number": "707-527-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 MENDOCINO AVE STE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032180",
            "telephone_number": "707-545-4600",
            "fax_number": "707-527-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA ADULT & CHILD CENTER FOR COGNITIVE BEHAVIORAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "LITSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "707-545-4600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Rosa Center For Cogntive Behavioral Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.