Individual provider Active NPI

Kateri Marie Ross, LMFT #100368

  • Marriage & Family Therapist
  • Rancho Cordova, CA
National Provider Identifier
1447556063
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
100368 Issued in CA
Practice address
11880 Marsyas Way
Rancho Cordova, CA 95742-8057
Phone
(916) 224-2517
NPI assigned
Jan 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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 100368 CA Primary

Addresses

Primary practice location

11880 Marsyas Way
Rancho Cordova, CA 95742-8057

Mailing address

11880 Marsyas Way
Rancho Cordova, CA 95742-8057
Phone (916) 224-2517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250623002738 ID Practitioner - Marriage and Family Therapist 7719499094 Reassigns benefits to 1 organization
I20260102003464 CA Practitioner - Marriage and Family Therapist 7719499094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2377 Gold Meadow Way
Suite 37
Gold River, CA 95670-4405

6203 San Ignacio Ave
Suite 110
San Jose, CA 95119-1371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100368CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth LLC Mental Health CurrentSince Jun 10, 2025 Accepting new patients
Sokyahealth Medical Group PC Mental Health Past Accepting new patients
Center for New Directions, Inc. Mental Health Past Accepting new patients

Locations

348 W Parkcenter Blvd
Ste 120
Boise, ID 83706

Interoperability endpoints

  • Direct secure messaging: kateri.ross.p1@direct.sokya.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1447556063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 MARSYAS WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957428057",
            "telephone_number": "916-224-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 MARSYAS WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957428057",
            "telephone_number": "916-224-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KATERI",
        "middle_name": "MARIE",
        "credential": "LMFT #100368",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

Verify at the official NPI Registry.