Nancy Suzanne Roberts, LMFT

Individual provider Active NPI Marriage & Family Therapist · Tijeras, NM

NPI 1487340600 · NPPES record last updated Dec 22, 2025

Key facts

NPI
1487340600
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
153633 (CA)
Practice address
1342 NM 333 Ste C
Tijeras, NM 87059-7351
Phone
(650) 762-6761
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 153633 CA Yes
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

Other providers in Tijeras, NM

All providers in Tijeras, NM · Marriage & Family Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.