Active NPI
Roger J Kuhn, PHD
- Marriage & Family Therapist
- Guerneville, CA
National Provider Identifier
1124561444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 96853
- Practice address
- 17589 Summit Ave
Guerneville, CA 95446-8801 - Phone
- (415) 347-5454
- NPI assigned
- Nov 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 96853 | CA | Primary |
Addresses
Primary practice location
17589 Summit Ave
Guerneville, CA 95446-8801
Mailing address
17589 Summit Ave
Guerneville, CA 95446-8801
Phone (415) 347-5454
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96853 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1124561444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17589 SUMMIT AVE",
"city": "GUERNEVILLE",
"state": "CA",
"postal_code": "954468801",
"telephone_number": "415-347-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17589 SUMMIT AVE",
"city": "GUERNEVILLE",
"state": "CA",
"postal_code": "954468801",
"telephone_number": "415-347-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUHN",
"first_name": "ROGER",
"middle_name": "J",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-19",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "96853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guerneville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.