Active NPI
Nicole L Kerbo Robbins
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1689705345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT41306
- Practice address
- 2620 J St
Suite 7
Sacramento, CA 95816-4381 - Phone
- (916) 296-3003
- NPI assigned
- Mar 7, 2007
- Last updated
- May 3, 2010
- 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 | MFT41306 | CA | Primary |
Addresses
Primary practice location
2620 J St
Suite 7
Sacramento, CA 95816-4381
Mailing address
2620 J St
Suite 7
Sacramento, CA 95816-4381
Phone (916) 296-3003
Other names 1
- Nicole L Kerbo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 18, 2024 through Jan 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT41306 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272844800000",
"number": "1689705345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 J ST",
"address_2": "SUITE 7",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164381",
"telephone_number": "916-296-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 J ST",
"address_2": "SUITE 7",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164381",
"telephone_number": "916-296-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERBO ROBBINS",
"first_name": "NICOLE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2010-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT41306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "KERBO",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.