Individual provider Active NPI

Danielle Elyse Roxborough, AMFT

  • Marriage & Family Therapist
  • Seal Beach, CA
National Provider Identifier
1164110268
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
112972 Issued in CA
Practice address
909 Electric Ave Ste 308
Seal Beach, CA 90740-8903
Phone
(714) 797-5445
NPI assigned
Apr 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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 112972 CA Primary

Addresses

Primary practice location

909 Electric Ave Ste 308
Seal Beach, CA 90740-8903

Mailing address

2703 Victoria Dr
Laguna Beach, CA 92651-3950
Phone (818) 481-6229

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seal Beach Counseling Inc CurrentSince Jan 28, 2024 Accepting new patients

Locations

909 Electric Ave
Ste 308
Seal Beach, CA 90740
Phone (562) 221-0647

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1164110268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 VICTORIA DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513950",
            "telephone_number": "818-481-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 ELECTRIC AVE STE 308",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907408903",
            "telephone_number": "714-797-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROXBOROUGH",
        "first_name": "DANIELLE",
        "middle_name": "ELYSE",
        "name_prefix": "Mrs.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.