Individual provider Active NPI

Tami Kathleen Romero, MFTI WAIVERED

  • Marriage & Family Therapist
  • Placerville, CA
National Provider Identifier
1477678373
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT47214 Issued in CA
Practice address
6765 Green Valley Rd
Placerville, CA 95667-8984
Phone
(530) 344-4852
NPI assigned
Mar 20, 2007
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Marriage & Family Therapist 106H00000X LMFT47214 CA Primary
Marriage & Family Therapist 106H00000X 46577 CA

Addresses

Primary practice location

6765 Green Valley Rd
Placerville, CA 95667-8984

Mailing address

6765 Green Valley Rd
Placerville, CA 95667-8984
Phone (916) 790-0735

Other practice location 1

438 N White Rd
Alliance for Community Care Adolescent Transition Age Y
San Jose, CA 95127-1439
Phone (408) 254-6828

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

LicenseStateTypeSpecialty
46577CAMDMarriage & Family Therapist
LMFT47214CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1477678373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6765 GREEN VALLEY RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678984",
            "telephone_number": "916-790-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6765 GREEN VALLEY RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678984",
            "telephone_number": "530-344-4852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 N White Rd",
            "address_2": "Alliance for Community Care Adolescent Transition Age Y",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951271439",
            "country_code": "US",
            "telephone_number": "408-254-6828",
            "fax_number": "408-254-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "TAMI",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "MFTI WAIVERED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT47214",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.