Individual provider Active NPI

Marcia Williams, LMFT

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1124438577
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106411 Issued in CA
Practice address
2227 Capricorn Way Ste 210
Santa Rosa, CA 95407-5486
Phone
(707) 565-4921
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 106411 CA Primary
Marriage & Family Therapist 106H00000X IMF80969 CA

Addresses

Primary practice location

2227 Capricorn Way Ste 210
Santa Rosa, CA 95407-5486

Mailing address

2227 Capricorn Way
Santa Rosa, CA 95407-5478
Phone (707) 565-4921

Other practice location 1

1 Saint Vincents Dr
San Rafael, CA 94903-1504
Phone (415) 507-2000

Other names 1

  • Marcia Bonomi Former name

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
106411CAMDMarriage & Family Therapist
IMF80969CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1124438577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 CAPRICORN WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075478",
            "telephone_number": "707-565-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 CAPRICORN WAY STE 210",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075486",
            "telephone_number": "707-565-4921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Saint Vincents Dr",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949031504",
            "country_code": "US",
            "telephone_number": "415-507-2000",
            "fax_number": "415-507-4381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARCIA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106411",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF80969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "BONOMI",
            "credential": "MFTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 11, 2021; 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.