Active NPI
Connie L. (Linda) Rodgers, LMFT
- Marriage & Family Therapist
- Grover Beach, CA
National Provider Identifier
1386719094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT13516
- Practice address
- 1149 Saratoga Avenue
Grover Beach, CA 93433 - Phone
- (805) 481-8600
- NPI assigned
- Nov 21, 2006
- Last updated
- Sep 1, 2020
- 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 | MFT13516 | CA | Primary |
Addresses
Primary practice location
1149 Saratoga Avenue
Grover Beach, CA 93433
Mailing address
PO Box 3105
Shell Beach, CA 93448
Phone (805) 481-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 26, 2025 through Feb 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT13516 | CA | MD | Marriage & Family Therapist |
| 13516 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1386719094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3105",
"city": "SHELL BEACH",
"state": "CA",
"postal_code": "93448",
"telephone_number": "805-481-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 SARATOGA AVENUE",
"city": "GROVER BEACH",
"state": "CA",
"postal_code": "93433",
"telephone_number": "805-481-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "CONNIE",
"middle_name": "L. (LINDA)",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT13516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grover Beach, CA
- Rescare Inc. (Normal Life of California)
- Rescare Inc. (Normal Life of California)
- Rescare Inc. (Normal Life of California)
- Marsha Rivera
- Cathryn Lee Roberts, SLP-CCC
- Gregorio Rodriguez Jr., PHARM D.
- Jade Chantal Romain, CCC-SLP
- Ashley Nicole Romano, M.S. OTR/L
- Sandra Gail Rutstein, OTR,L
- San Luis Obispo Public Health Agency
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.