Individual provider Active NPI

Victoria Rohrer, LMFT

  • Marriage & Family Therapist
  • Sonoma, CA
National Provider Identifier
1316345762
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
110700 Issued in CA
Practice address
814 Broadway
Sonoma, CA 95476-7013
Phone
(707) 509-8031
Fax
(707) 339-8339
NPI assigned
Dec 17, 2014
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF81580 CA
Marriage & Family Therapist 106H00000X 110700 CA Primary

Addresses

Primary practice location

814 Broadway
Sonoma, CA 95476-7013

Mailing address

36 Woodworth LN
Sonoma, CA 95476-7634
Phone (707) 494-1279

Other practice location 1

3333 Chanate Rd
Santa Rosa, CA 95404-1707
Phone (707) 565-7818

Other practice location 2

645 Broadway Ste D
Sonoma, CA 95476-7058
Phone (707) 494-1279

Other practice location 3

1151 Broadway Ste 204
Sonoma, CA 95476-7584
Phone (707) 494-1279

Other identifiers 1

IdentifierTypeStateIssuer
1222242MedicaidCA

Medicare participation

Medicare enrollment files
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110700CAMDMarriage & Family Therapist
IMF81580CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoma Valley Family Therapy PC CurrentSince Jan 1, 2021 Accepting new patients
Sonoma Valley Family Therapy PC CurrentSince Oct 6, 2024 Accepting new patients

Locations

1151 Broadway
Ste 204
Sonoma, CA 95476
Phone (415) 410-8499

814 Broadway
Sonoma, CA 95476
Phone (707) 509-8031

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1316345762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WOODWORTH LN",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767634",
            "telephone_number": "707-494-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 BROADWAY",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767013",
            "telephone_number": "707-509-8031",
            "fax_number": "707-339-8339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Chanate Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954041707",
            "country_code": "US",
            "telephone_number": "707-565-7818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 Broadway Ste D",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954767058",
            "country_code": "US",
            "telephone_number": "707-494-1279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1151 Broadway Ste 204",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954767584",
            "country_code": "US",
            "telephone_number": "707-494-1279",
            "fax_number": "707-339-8339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHRER",
        "first_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF81580",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1222242",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

Verify at the official NPI Registry.