Marc Anthony Roman, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

97320 Issued in CA

Practice address

7080 Hollywood Blvd Ste 815
Los Angeles, CA 90028-6935

Phone

(888) 588-4456

NPI assigned

May 4, 2011

Sex

Male

Sole proprietor

No

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

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.

• Foresight Mental Health

  • Counselor
  • Sacramento, CA
  • NPI 1902390537
  Medicare reassignment NPD
• Baker Places, Inc

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1790822997
  NPD (past)

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1235421561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8581 SANTA MONICA BLVD # 240",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694120",
            "telephone_number": "415-728-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 HOLLYWOOD BLVD STE 815",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286935",
            "telephone_number": "888-588-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "MARC",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ediyalet Roman
• Eliza Johanna Roman
• Evelyn Roman
• Irene Marie Roman, MSW
• Lisbeth Roman
• Robert Roman, M.D.
• Vanessa Roman
• Yudith Adilene Roman
• Sydney Svetlana Romanes
• Natalia Romano Spica

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, 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 2, 2023; 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.