Individual provider Active NPI

Roberta L Thomas, MFT

  • Marriage & Family Therapist
  • Covina, CA
National Provider Identifier
1528206083
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC28549 Issued in CA
Practice address
527 E Rowland St Ste 112
Covina, CA 91723-3230
Phone
(626) 598-3379
NPI assigned
Jan 21, 2009
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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 MFC28549 CA Primary

Addresses

Primary practice location

527 E Rowland St Ste 112
Covina, CA 91723-3230

Mailing address

527 E Rowland St Ste 112
Covina, CA 91723-3230
Phone (626) 598-3379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 31, 2026 through Mar 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC28549CAMDMarriage & Family Therapist
28549CAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Individual & Family Counseling, Inc. Marriage & Family Therapist CurrentSince Oct 23, 2022 Accepting new patients
Serenity Infant Care Homes Marriage & Family Therapist Past Accepting new patients

Locations

527 E Rowland St
Ste 112
Covina, CA 91723
Phone (626) 428-7683

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1528206083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 E ROWLAND ST STE 112",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233230",
            "telephone_number": "626-598-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 E ROWLAND ST STE 112",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233230",
            "telephone_number": "626-598-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROBERTA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC28549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.