Active NPI
Mary Leslie Groves Rossi, BC-DMT
- Marriage & Family Therapist
- Napa, CA
National Provider Identifier
1356903231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT117176
- Practice address
- 3419 Valle Verde Dr # 707
Napa, CA 94558-2414 - Phone
- (707) 299-8250
- NPI assigned
- Jul 1, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | APCC7459 | CA | |
| Dance Therapist | 225600000X | CA | ||
| Marriage & Family Therapist | 106H00000X | AMFT117176 | CA | Primary |
Addresses
Primary practice location
3419 Valle Verde Dr # 707
Napa, CA 94558-2414
Mailing address
420 Gillcrest Ave
Vallejo, CA 94591-8009
Phone (707) 655-3420
Other practice location 1
420 Gillcrest Ave
Vallejo, CA 94591-8009
Phone (707) 655-3420
Other names 1
- Mary Leslie Groves
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | vallejo | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APCC7459 | CA | MD | Counselor |
| AMFT117176 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kairos Psychology PC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1356903231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 GILLCREST AVE",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945918009",
"telephone_number": "707-655-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3419 VALLE VERDE DR # 707",
"city": "NAPA",
"state": "CA",
"postal_code": "945582414",
"telephone_number": "707-299-8250"
}
],
"practiceLocations": [
{
"address_1": "420 Gillcrest Ave",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945918009",
"country_code": "US",
"telephone_number": "707-655-3420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROVES ROSSI",
"first_name": "MARY",
"middle_name": "LESLIE",
"credential": "BC-DMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "APCC7459",
"primary": false
},
{
"code": "225600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dance Therapist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT117176",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "vallejo",
"affiliation": "N",
"endpointDescription": "personal url",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "pt info",
"address_1": "420 Gillcrest Ave",
"city": "Vallejo",
"state": "CA",
"country_code": "US",
"postal_code": "945918009",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARY",
"last_name": "GROVES",
"middle_name": "LESLIE",
"credential": "BC-DMT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.