Individual provider Active NPI

Roberta Lee Phillips-Copeland, M.A., L.M.F.T.

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1205148749
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC47674 Issued in CA
Practice address
1127 Parkview Ave
Redding, CA 96001-3203
Phone
(530) 604-8674
NPI assigned
Jul 13, 2010
Last updated
Jul 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC47674 CA Primary

Addresses

Primary practice location

1127 Parkview Ave
Redding, CA 96001-3203

Mailing address

1127 Parkview Ave
Redding, CA 96001-3203
Phone (530) 604-8674

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC47674CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1205148749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 PARKVIEW AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013203",
            "telephone_number": "530-604-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 PARKVIEW AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013203",
            "telephone_number": "530-604-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-COPELAND",
        "first_name": "ROBERTA",
        "middle_name": "LEE",
        "credential": "M.A., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC47674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.