Individual provider Active NPI

Mercedes Nicole Robinson

  • Marriage & Family Therapist
  • Plumas Lake, CA
National Provider Identifier
1174266209
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
150531 Issued in CA
Practice address
1151 Silver Spur Way
Plumas Lake, CA 95961-9112
Phone
(530) 315-6833
Fax
(530) 491-4083
NPI assigned
Apr 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CA
Marriage & Family Therapist 106H00000X LMFT150531 CA
Marriage & Family Therapist 106H00000X 150531 CA Primary

Addresses

Primary practice location

1151 Silver Spur Way
Plumas Lake, CA 95961-9112

Mailing address

1151 Silver Spur Way
Plumas Lake, CA 95961-9112
Phone (530) 315-6833

Other practice location 1

19 Williamsburg Ln
Chico, CA 95926-2225
Phone (530) 715-9611

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
I20250416002079 CA Practitioner - Marriage and Family Therapist 6204351836 Practice locations: Marysville, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT150531CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1650153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1174266209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 SILVER SPUR WAY",
            "city": "PLUMAS LAKE",
            "state": "CA",
            "postal_code": "959619112",
            "telephone_number": "530-315-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 SILVER SPUR WAY",
            "city": "PLUMAS LAKE",
            "state": "CA",
            "postal_code": "959619112",
            "telephone_number": "530-315-6833",
            "fax_number": "530-491-4083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Williamsburg Ln",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959262225",
            "country_code": "US",
            "telephone_number": "530-715-9611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MERCEDES",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-17",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT150531",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plumas Lake, CA

Sources for this page

Verify at the official NPI Registry.