Marilyn Jane Rose, M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC33608 Issued in CA

Practice address

3951 Performance Dr
Suite G
Sacramento, CA 95838-3264

Phone

(916) 921-0828

Fax

(916) 648-8008

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Marriage & Family Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1215040076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 PERFORMANCE DR",
            "address_2": "SUITE G",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958383264",
            "telephone_number": "916-921-0828",
            "fax_number": "916-648-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 PERFORMANCE DR",
            "address_2": "SUITE G",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958383264",
            "telephone_number": "916-921-0828",
            "fax_number": "916-648-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MARILYN",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC33608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Spencer Rose, M.D.
• Keontay Rose
• Kimberley Erin Rose, PH.D.
• Leanna Hester Rose, LCSW
• Lita Darnell Rose, AMFT
• Melissa Lynn Rose, PH.D.
• Miranda Susie Rose
• Natalie C Rose, MD
• Nately Rose, LCSW
• Patricia Elizabeth Rose, MFT

• Marriage & Family Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.

Verify at the official NPI Registry.