Active NPI
Moira-Cecily Brady-Rogers, LMFT
- Marriage & Family Therapist
- South Pasadena, CA
National Provider Identifier
1205672250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 32102
- Practice address
- 1000 Fremont Ave Ste 218
South Pasadena, CA 91030-3225 - Phone
- (626) 254-1724
- NPI assigned
- Jul 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 32102 | CA | Primary |
Addresses
Primary practice location
1000 Fremont Ave Ste 218
South Pasadena, CA 91030-3225
Mailing address
1000 Fremont Ave Ste 281
South Pasadena, CA 91030-3225
Phone (626) 254-1724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 7, 2024 through Jul 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32102 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1205672250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 FREMONT AVE STE 281",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910303225",
"telephone_number": "626-254-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 FREMONT AVE STE 218",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910303225",
"telephone_number": "626-254-1724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY-ROGERS",
"first_name": "MOIRA-CECILY",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "32102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Pasadena, CA
- Brittany Bostick
- Dorothy Marie Bourgeois de Apodaca, IBCLC
- Kalisha Boykin, LMFT
- Riley Lynn Bozich, ASSOCIATE MFT
- Myra A Brackett, LMFT 50544
- Carey Elizabeth Braswell, M.ED., BCBA
- Brenda C. Smith M.D., Inc. (Womens Health Care Associates)
- Leah Ann Brignoni
- Elias Briseno
- Brittany Perez Licensed Professional Clinical Counselor, PC (Cultivate Grace Counseling and Consultation Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.