Individual provider Active NPI

Nancy Suzanne Roberts, LMFT

  • Marriage & Family Therapist
  • Tijeras, NM
National Provider Identifier
1487340600
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
153633 Issued in CA
Practice address
1342 NM 333 Ste C
Tijeras, NM 87059-7351
Phone
(650) 762-6761
NPI assigned
Apr 12, 2023
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 153633 CA Primary
Marriage & Family Therapist 106H00000X CTB-2023-0049 NM

Addresses

Primary practice location

1342 NM 333 Ste C
Tijeras, NM 87059-7351

Mailing address

1342 NM 333 Ste C
Tijeras, NM 87059-7351

Other practice location 1

23 Buffalo Ct
Pacifica, CA 94044-3841
Phone (415) 728-3275

Other practice location 2

2105 Martin Luther King Jr Way Fl 1
Berkeley, CA 94704-1108
Phone (888) 588-8995

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
153633CAMDMarriage & Family Therapist
CTB-2023-0049NMMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1487340600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 NM 333 STE C",
            "city": "TIJERAS",
            "state": "NM",
            "postal_code": "870597351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 NM 333 STE C",
            "city": "TIJERAS",
            "state": "NM",
            "postal_code": "870597351",
            "telephone_number": "650-762-6761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Buffalo Ct",
            "address_purpose": "LOCATION",
            "city": "Pacifica",
            "state": "CA",
            "postal_code": "940443841",
            "country_code": "US",
            "telephone_number": "415-728-3275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2105 Martin Luther King Jr Way Fl 1",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947041108",
            "country_code": "US",
            "telephone_number": "888-588-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "NANCY",
        "middle_name": "SUZANNE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "153633",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CTB-2023-0049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tijeras, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.