Felicia Adams
Individual provider Active NPI Marriage & Family Therapist · Santa Rosa, CA
NPI 1508312158 · NPPES record last updated Jul 27, 2017
Key facts
- NPI
- 1508312158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 100640 (CA)
- Practice address
- 2447 Summerfield Road
Santa Rosa, CA 95405 - Phone
- (707) 544-3299
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100640 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Individuals Now, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 100640 | CA | Yes |
Addresses
Primary practice location
2447 Summerfield Road
Santa Rosa, CA 95405
Mailing address
4633 Summerhays PL
Santa Rosa, CA 95405
Other providers in Santa Rosa, CA
- Rosalba Maritza Acosta
- Active Rehab, LLC
- Robert Eric Acuna
- Acupuncture Mama
- Christina Elaine Adams
- Jaykah Layne Adams
- Patricia Adams
- Cassandra Stella-Blue Adamson
- Kyle Wayne Adamson
- Adapthealth West, LLC
All providers in Santa Rosa, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.