Active NPI
Anita Marie Eliot, MA LMFT
- Marriage & Family Therapist
- Santa Rosa, CA
National Provider Identifier
1336919273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MU7589
- Practice address
- 75 Redwing Dr
Santa Rosa, CA 95409-4118 - Phone
- (707) 480-4558
- NPI assigned
- Jan 2, 2024
- Last updated
- Jan 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MU7589 | CA | Primary |
Addresses
Primary practice location
75 Redwing Dr
Santa Rosa, CA 95409-4118
Mailing address
75 Redwing Dr
Santa Rosa, CA 95409-4118
Phone (707) 480-4558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 10, 2024 through Jan 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7589 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| MU7589 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1336919273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 REDWING DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954094118",
"telephone_number": "707-480-4558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 REDWING DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954094118",
"telephone_number": "707-480-4558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIOT",
"first_name": "ANITA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MA LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-02",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MU7589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.