Active NPI
Lita Darnell Rose, AMFT
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1154961043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 109779
- Practice address
- 2750 Sutterville Rd
Sacramento, CA 95820-1093 - Phone
- (916) 254-0167
- NPI assigned
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 109779 | CA | Primary |
Addresses
Primary practice location
2750 Sutterville Rd
Sacramento, CA 95820-1093
Mailing address
2750 Sutterville Rd
Sacramento, CA 95820-1093
Phone (916) 254-0167
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lita.rose@kidshome.org |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 109779 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1154961043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 SUTTERVILLE RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958201093",
"telephone_number": "916-254-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 SUTTERVILLE RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958201093",
"telephone_number": "916-254-0167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "LITA",
"middle_name": "DARNELL",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "109779",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lita.rose@kidshome.org",
"affiliation": "N",
"address_1": "2750 Sutterville Rd",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958201093",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.