Individual provider Active NPI

Anna Karen Becerra-Rodriguez, AMFT

  • Marriage & Family Therapist
  • Orange, CA
National Provider Identifier
1548740970
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
107712 Issued in CA
Practice address
4000 W Metropolitan Dr Ste 405
Orange, CA 92868-3504
Phone
(714) 645-8000
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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 107712 CA Primary

Addresses

Primary practice location

4000 W Metropolitan Dr Ste 405
Orange, CA 92868-3504

Mailing address

841 W la Habra Blvd Apt I101
La Habra, CA 90631-9042
Phone (562) 242-5826

Other practice location 1

2390 E Orangewood Ave Ste 300
Anaheim, CA 92806-6138
Phone (714) 742-1398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313001308 CA Practitioner - Marriage and Family Therapist 0547781031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serene Pathways Family Counseling IncGroup PAC ID 0749721389, 13 clinicians

Practice addresses (Care Compare)

11800 Central Ave
Suite 225
Chino, CA 91710-7201
Phone (909) 591-5085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107712CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Personalized Treatment & Intervention Services CurrentSince Jan 4, 2025 Accepting new patients
Serene Pathways Family Counseling Inc Marriage & Family Therapist CurrentSince Jan 4, 2025 Accepting new patients
The Priority Center Ending the Generational Cycle of Trauma Inc Mental Health Past Accepting new patients

Locations

11800 Central Ave
Ste 225
Chino, CA 91710
Phone (909) 576-3889

201 Spear St
Ste 1100
San Francisco, CA 94105
Phone (415) 651-4333

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1548740970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 W LA HABRA BLVD APT I101",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906319042",
            "telephone_number": "562-242-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W METROPOLITAN DR STE 405",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683504",
            "telephone_number": "714-645-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2390 E Orangewood Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928066138",
            "country_code": "US",
            "telephone_number": "714-742-1398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECERRA-RODRIGUEZ",
        "first_name": "ANNA",
        "middle_name": "KAREN",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "107712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.