Individual provider Active NPI

Emma Haydee Ashley-Roth

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1356967137
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
155367 Issued in CA
Practice address
700 Frederick St Ste 103
Santa Cruz, CA 95062-2239
Phone
(831) 996-1222
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 155367 CA Primary

Addresses

Primary practice location

700 Frederick St Ste 103
Santa Cruz, CA 95062-2239

Mailing address

862 Folsom St
San Francisco, CA 94107-1123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251207000107 CA Practitioner - Marriage and Family Therapist 2567955560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shine a Light Counseling Center, IncGroup PAC ID 6406281211, 9 clinicians

Practice addresses (Care Compare)

700 Frederick St
Suite 103
Santa Cruz, CA 95062-2239
Phone (831) 996-1222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
155367CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shine a Light Counseling Center, Inc CurrentSince Nov 24, 2025 Accepting new patients
New Perspectives Center for Counseling Marriage & Family Therapist CurrentSince Sep 3, 2025 Accepting new patients

Locations

862 Folsom St
San Francisco, CA 94107
Phone (415) 412-8841

700 Frederick St
Ste 103
Santa Cruz, CA 95062
Phone (831) 222-0111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1356967137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 FOLSOM ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FREDERICK ST STE 103",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622239",
            "telephone_number": "831-996-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLEY-ROTH",
        "first_name": "EMMA",
        "middle_name": "HAYDEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "155367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.