Active NPI
Nikita Ravindra Bangera
- Marriage & Family Therapist
- Roseville, CA
National Provider Identifier
1184440414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 141439
- Practice address
- 1382 Blue Oaks Blvd Ste 213
Roseville, CA 95678-7052 - Phone
- (877) 412-8031
- NPI assigned
- Dec 2, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 141439 | CA | Primary |
| Mental Health Counselor | 101YM0800X | 15390 | CA |
Addresses
Primary practice location
1382 Blue Oaks Blvd Ste 213
Roseville, CA 95678-7052
Mailing address
3656 Castle Reagh PL
Riverside, CA 92506-1219
Phone (510) 634-5938
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Together | Mental Health | Current | Accepting new patients |
Locations
1382 Blue Oaks Blvd
Ste 213
Roseville, CA 95678
Phone (877) 412-8031
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": "1733097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1184440414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3656 CASTLE REAGH PL",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925061219",
"telephone_number": "510-634-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1382 BLUE OAKS BLVD STE 213",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956787052",
"telephone_number": "877-412-8031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANGERA",
"first_name": "NIKITA RAVINDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-02",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "141439",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "15390",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.