Jason Michael Roper, MS
Individual provider Active NPI Marriage & Family Therapist · Olivehurst, CA
NPI 1326257379 · NPPES record last updated Oct 20, 2009
Key facts
- NPI
- 1326257379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC 46889 (CA)
- Practice address
- 4240 Dan Ave
Olivehurst, CA 95961-8107 - Phone
- (530) 741-6275
- Fax
- (530) 749-7913
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060280844 | CA | MD | School Counselor |
| MFC 46889 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 060280844 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC 46889 | CA | Yes |
Addresses
Primary practice location
4240 Dan Ave
Olivehurst, CA 95961-8107
Mailing address
4240 Dan Ave
Olivehurst, CA 95961-8107
Phone (530) 741-6275
Other providers in Olivehurst, CA
- Ivette Raya
- Rosario Reyes
- Alyssa Marie Reynolds
- Anayeli Rodriguez Galindo
- Kimberly Rebecca Rogan
- Alicia Rosas Lule
- Alyssa E Ruiz
- Ryan Sauer
- Diane C Schill
- Ruth Griselda Silva
All providers in Olivehurst, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.