Johannes Petrus Roux, PHD LMFT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

31698 Issued in CA

Practice address

310 Riviera Cir
Larkspur, CA 94939-1544

Phone

(415) 272-0293

NPI assigned

Oct 20, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Jean P Roux Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1225791841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLACKFIELD DR # 364",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949202053",
            "telephone_number": "415-272-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 RIVIERA CIR",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391544",
            "telephone_number": "415-272-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUX",
        "first_name": "JOHANNES",
        "middle_name": "PETRUS",
        "name_prefix": "Dr.",
        "credential": "PHD LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "31698",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "31698",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "CA",
            "license": "31698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "ROUX",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "PHD LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Faith Rohlke, MD
• Ronald R. Ward, M.D., F.a.C.S.
• Edgar Dario Rondon, MSW
• David W Rose, DC CHIROPRACTOR
• Ross Valley Paramedic Authority
• Elizabeth Gayle Rubel, PHD
• Sarah Marie Rubin, PA-C
• Lia Rudnick, PH.D.
• Jay R Salzman
• Mario Santi, PHARMD

• Counselor in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.