Active NPI
Randolph Farase
- Marriage & Family Therapist
- Roseville, CA
National Provider Identifier
1194569293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT143296
- Practice address
- 1382 Blue Oaks Blvd Ste 213
Roseville, CA 95678-7052 - Phone
- (916) 312-4669
- NPI assigned
- Jun 24, 2024
- Sex
- Male
- 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 | AMFT143296 | CA | Primary |
Addresses
Primary practice location
1382 Blue Oaks Blvd Ste 213
Roseville, CA 95678-7052
Mailing address
2335 American River Dr Ste 301
Sacramento, CA 95825-7088
Phone (916) 609-5100
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 |
|---|---|---|---|
| AMFT143296 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767139200000",
"number": "1194569293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2335 AMERICAN RIVER DR STE 301",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958257088",
"telephone_number": "916-609-5100"
},
{
"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": "916-312-4669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARASE",
"first_name": "RANDOLPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-24",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT143296",
"primary": true
}
],
"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 31, 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.