Active NPI
Marisa Ronquillo, LMFT
- Marriage & Family Therapist
- Folsom, CA
National Provider Identifier
1265940373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 122594
- Practice address
- 82 Clarksville Rd Ste 120
Folsom, CA 95630-8210 - Phone
- (916) 983-8868
- NPI assigned
- Jan 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 122594 | CA | Primary |
Addresses
Primary practice location
82 Clarksville Rd Ste 120
Folsom, CA 95630-8210
Mailing address
82 Clarksville Rd Ste 120
Folsom, CA 95630-8210
Phone (916) 983-8868
Other practice location 1
11634 Fair Oaks Blvd
Fair Oaks, CA 95628-3771
Phone (916) 983-8868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insightful Roots Family Therapy Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Life Practice Counseling Group | Past | Accepting new patients | |
| Welltrackone Corporation | Past | Accepting new patients | |
| California Behavioral & Nursing Professionals PC | Mental Health | Past | Accepting new patients |
Locations
455 University Ave
Ste 215
Sacramento, CA 95825
Phone (916) 209-0348
Organizations & group practices 4
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.
-
dba Insightful Roots Therapy
- Marriage & Family Therapist
- Sacramento, CA
- NPI 1053157172
-
dba Mental Health & Nursing Consult
- Mental Health Counselor
- Fair Oaks, CA
- NPI 1528625209
-
- Community/Behavioral Health Agency
- Sacramento, CA
- NPI 1255653879
-
- Specialist
- Hilton Head Island, SC
- NPI 1770367468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1265940373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 CLARKSVILLE RD STE 120",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956308210",
"telephone_number": "916-983-8868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 CLARKSVILLE RD STE 120",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956308210",
"telephone_number": "916-983-8868"
}
],
"practiceLocations": [
{
"address_1": "11634 Fair Oaks Blvd",
"address_purpose": "LOCATION",
"city": "Fair Oaks",
"state": "CA",
"postal_code": "956283771",
"country_code": "US",
"telephone_number": "916-983-8868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RONQUILLO",
"first_name": "MARISA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "122594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.