Active NPI
Patricia Lee Mills, LMFT
- Marriage & Family Therapist
- Santa Rosa, CA
National Provider Identifier
1194888941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 90335
- Practice address
- 3438 Mendocino Ave # B
Santa Rosa, CA 95403-2275 - Phone
- (707) 529-3721
- Fax
- (707) 900-8192
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 72998 | CA | |
| Licensed Psychiatric Technician | 167G00000X | 30567 | CA | |
| Marriage & Family Therapist | 106H00000X | 90335 | CA | Primary |
Addresses
Primary practice location
3438 Mendocino Ave # B
Santa Rosa, CA 95403-2275
Mailing address
19950 Jigsaw Rd
Hidden Valley Lake, CA 95467-8516
Phone (707) 565-6900
Other practice location 1
3333 Chanate Rd
Santa Rosa, CA 95404-1707
Phone (707) 565-4900
Other names 1
- Mrs. Patricia Lee Popkin
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240117002592 | CA | Practitioner - Marriage and Family Therapist | 7911359716 | Practice locations: Santa Rosa, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90335 | CA | MD | Marriage & Family Therapist |
| 30567 | CA | MD | Dentist |
| 72998 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoma Therapy Network | Current | Accepting new patients | |
| Sonoma Therapy Network Support Services Inc | Marriage & Family Therapist | Past | Accepting new patients |
Locations
3438 Mendocino Ave
#B
Santa Rosa, CA 95403
Phone (707) 387-4525
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Rosa, CA
- NPI 1356854673
-
- Case Manager/Care Coordinator
- Santa Rosa, CA
- NPI 1265385850
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1194888941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19950 JIGSAW RD",
"city": "HIDDEN VALLEY LAKE",
"state": "CA",
"postal_code": "954678516",
"telephone_number": "707-565-6900",
"fax_number": "707-565-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3438 MENDOCINO AVE # B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954032275",
"telephone_number": "707-529-3721",
"fax_number": "707-900-8192"
}
],
"practiceLocations": [
{
"address_1": "3333 Chanate Rd",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954041707",
"country_code": "US",
"telephone_number": "707-565-4900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLS",
"first_name": "PATRICIA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "72998",
"primary": false
},
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "30567",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "90335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "POPKIN",
"middle_name": "LEE",
"prefix": "MRS.",
"credential": "LMFT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.