Rochelle Edwards, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

34664 Issued in CA

Practice address

2173 Francisco Blvd E Ste B
San Rafael, CA 94901-5523

Phone

(415) 908-6786

NPI assigned

Apr 1, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1548898653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 613",
            "city": "SAN GERONIMO",
            "state": "CA",
            "postal_code": "949630613",
            "telephone_number": "415-819-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 FRANCISCO BLVD E STE B",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015523",
            "telephone_number": "415-908-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ROCHELLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "34664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tjinstitute.org",
            "affiliation": "N",
            "address_1": "2173 Francisco Blvd E Ste B",
            "city": "San Rafael",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949015523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjedwa@comcast.net",
            "affiliation": "N",
            "address_1": "2173 Francisco Blvd E Ste B",
            "city": "San Rafael",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949015523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sara Abbot Edrington, PSYD
• Holly Edson, NP
• Alexander Edwards, MS CCC SLP
• Damian Alfonso Edwards, CASE 1
• Mark Anthony Edwards, MS, MFT
• Boukje Elisabeth Eerkens, PSY.D.
• Egan Family Chiropractic Inc.
• Matthew Nicholas Egan
• Roxane Eger
• Ehsan Karimian DDS, MSD, Inc.

• Marriage & Family Therapist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.