Individual provider Active NPI

Makenna Elaine Roehr, AMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1639045149
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
148261 Issued in CA
Practice address
3160 Camino del Rio S Ste 116
San Diego, CA 92108-8933
Phone
(619) 352-0486
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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 148261 CA Primary

Addresses

Primary practice location

3160 Camino del Rio S Ste 116
San Diego, CA 92108-8933

Mailing address

3160 Camino del Rio S Ste 116
San Diego, CA 92108-8933
Phone (760) 715-8088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
148261CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1639045149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 CAMINO DEL RIO S STE 116",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921088933",
            "telephone_number": "760-715-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 CAMINO DEL RIO S STE 116",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921088933",
            "telephone_number": "619-352-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEHR",
        "first_name": "MAKENNA",
        "middle_name": "ELAINE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "148261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.