Dorie Rosenberg, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC30941 Issued in CA

Practice address

710 C St Ste 7C
San Rafael, CA 94901-3891

Phone

(415) 492-0656

Fax

(949) 757-2536

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dorie Naomi Mallin Rosenberg Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 20, 2024 through Feb 20, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1447310263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 C ST STE 7C",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013891",
            "telephone_number": "415-492-0656",
            "fax_number": "949-757-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 C ST STE 7C",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013891",
            "telephone_number": "415-492-0656",
            "fax_number": "949-757-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "DORIE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC30941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORIE",
            "last_name": "ROSENBERG",
            "middle_name": "NAOMI MALLIN",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aneissa Marie Rosas-Sanchez, MSW
• Rosebay Behavioral Health
• Rosebay Behavioral Health LLC
• Jerry M Rosenbaum, M.D
• Darby N Rosenberg, AMFT
• Monica Rosenberg, RN
• Elon Rosenfeld, LAC
• Ellen G Rosenthal, MD
• Marleen Liesbeth Rosmark
• Ross Valley Compounding Pharmacy, Inc.

• Mental Health Counselor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.