Individual provider Active NPI

Marilyn T Paventy, LCSW

  • Mental Health Counselor
  • Red Bluff, CA
National Provider Identifier
1659503175
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
98396 Issued in CA
Practice address
22425 Sunbright Ave
Red Bluff, CA 96080-9741
Phone
(530) 528-2342
NPI assigned
Aug 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW71248 CA
Mental Health Counselor 101YM0800X 98396 CA Primary
Case Manager/Care Coordinator 171M00000X ASW 71248 CA
Social Worker 104100000X ASW26233 CA

Addresses

Primary practice location

22425 Sunbright Ave
Red Bluff, CA 96080-9741

Mailing address

22425 Sunbright Ave
Red Bluff, CA 96080-9741
Phone (530) 528-2342

Other practice location 1

756 Rio St
Red Bluff, CA 96080-3338
Phone (832) 538-5274

Other names 1

  • Marilyn T Roberts Other name

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
I20201203002904 CA Practitioner - Clinical Social Worker 6709297211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parish Health and Wellness IncGroup PAC ID 4880941426, 3 clinicians

Practice addresses (Care Compare)

22425 Sunbright Ave
Red Bluff, CA 96080-9741
Phone (530) 528-2342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW71248CAMDMental Health Counselor
ASW26233CAMDSocial Worker
ASW 71248CAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Community Services, Inc. Past Accepting new patients

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": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1659503175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22425 SUNBRIGHT AVE",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960809741",
            "telephone_number": "530-528-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22425 SUNBRIGHT AVE",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960809741",
            "telephone_number": "530-528-2342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "756 Rio St",
            "address_purpose": "LOCATION",
            "city": "Red Bluff",
            "state": "CA",
            "postal_code": "960803338",
            "country_code": "US",
            "telephone_number": "832-538-5274",
            "fax_number": "530-690-5457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVENTY",
        "first_name": "MARILYN",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW71248",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "98396",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "ASW 71248",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW26233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "ROBERTS",
            "middle_name": "T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Red Bluff, CA

Sources for this page

Verify at the official NPI Registry.