Individual provider Active NPI

Roxanne S Cherry, PH.D. MFT

  • Marriage & Family Therapist
  • Mission Viejo, CA
National Provider Identifier
1124046297
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
22810 Issued in CA
Practice address
27281 Las Ramblas Ste 200
Mission Viejo, CA 92691-8303
Phone
(949) 228-2844
Fax
(949) 497-4324
NPI assigned
Jul 17, 2006
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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 22810 CA Primary

Addresses

Primary practice location

27281 Las Ramblas Ste 200
Mission Viejo, CA 92691-8303

Mailing address

29245 Pompano Way
Laguna Niguel, CA 92677-1674
Phone (949) 228-2844

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
I20240424000345 CA Practitioner - Marriage and Family Therapist 3072952043 Practice locations: Mission Viejo, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22810CAMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1124046297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29245 POMPANO WAY",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771674",
            "telephone_number": "949-228-2844",
            "fax_number": "949-497-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27281 LAS RAMBLAS STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918303",
            "telephone_number": "949-228-2844",
            "fax_number": "949-497-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "ROXANNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.  MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "22810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.