Individual provider Active NPI

Patricia Lee Mills, LMFT

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1194888941
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
90335 Issued in CA
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

Updated by the provider on Nov 20, 2023

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 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 Other name

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
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

LicenseStateTypeSpecialty
90335CAMDMarriage & Family Therapist
30567CAMDDentist
72998CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoma Therapy Network CurrentSince Jan 26, 2022 Accepting new patients
Sonoma Therapy Network Support Services Inc Marriage & Family Therapist PastSince Jan 26, 2022 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.

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

Verify at the official NPI Registry.