Active NPI
Anna Karen Becerra-Rodriguez, AMFT
- Marriage & Family Therapist
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 107712
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 107712 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personalized Treatment & Intervention Services | Current | Accepting new patients | |
| Serene Pathways Family Counseling Inc | Marriage & Family Therapist | Current | 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.
-
- Marriage & Family Therapist
- Chino, CA
- NPI 1174913321
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Inglewood, CA
- NPI 1861026445
-
- Mental Health Counselor
- Santa Ana, CA
- NPI 1356474878
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.