Heather Mummaw, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT92531 Issued in CA

Practice address

775 Sunrise Ave Ste 110
Roseville, CA 95661-4527

Phone

(916) 790-6024

Fax

(916) 581-4623

NPI assigned

Jan 31, 2012

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1215209622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8863 GREENBACK LN # 191",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624059",
            "telephone_number": "916-790-6024",
            "fax_number": "916-581-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SUNRISE AVE STE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614527",
            "telephone_number": "916-790-6024",
            "fax_number": "916-581-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMMAW",
        "first_name": "HEATHER",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-31",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT92531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Mullen, LMFT 125359
• Deanna E. Mullin, MD
• Carol Ann Mullins
• Centri M Mullis, COTA/L
• Carolyn Mullonkal
• Erina Muniz, M.A., BCBA
• Katherine Marie Munoz
• Laura Edith Munoz
• Reed A Munroe
• Ashley Yamileth Murillo Valle, MD

• Marriage & Family Therapist in Roseville, CA
• Providers in Roseville, 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 Jul 18, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.