Individual provider Active NPI

Laudon Rowen, MFT

  • Marriage & Family Therapist
  • Rocklin, CA
National Provider Identifier
1104958180
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC38140 Issued in CA
Practice address
5180 Grove St
Rocklin, CA 95677-2733
Phone
(916) 251-1050
Fax
(916) 630-1977
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC38140 CA Primary

Addresses

Primary practice location

5180 Grove St
Rocklin, CA 95677-2733

Mailing address

5180 Grove St
Rocklin, CA 95677-2733
Phone (916) 251-1050

Other identifiers 1

IdentifierTypeStateIssuer
9602OtherCAPLACER COUNTY PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718000596 CA Practitioner - Marriage and Family Therapist 6002352705 Practice locations: Cambria, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

816 Main St
Suite G1
Cambria, CA 93428-2824
Phone (916) 849-9434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC38140CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104958180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 GROVE ST",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772733",
            "telephone_number": "916-251-1050",
            "fax_number": "916-630-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 GROVE ST",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772733",
            "telephone_number": "916-251-1050",
            "fax_number": "916-630-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWEN",
        "first_name": "LAUDON",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC38140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLACER COUNTY PROVIDER #",
            "identifier": "9602",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.