Organization Active NPI

Rose Marriage and Family Therapy

  • Marriage & Family Therapist
  • Mill Valley, CA
National Provider Identifier
1700560737
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ROSE MARRIAGE AND FAMILY THERAPY
Practice address
45 Camino Alto Ste 208
Mill Valley, CA 94941-2935
Phone
(415) 528-2525
NPI assigned
Jun 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Laura Rose, LMFTNPI 1720758196
Title
Owner
Phone
(415) 528-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X

Addresses

Primary practice location

45 Camino Alto Ste 208
Mill Valley, CA 94941-2935

Mailing address

27 Camelford PL
Oakland, CA 94611-2535
Phone (512) 784-3953

Other names 1

  • Laura Rose Therapy Group Other name

National Provider Directory

National Provider Directory

Locations

45 Camino Alto
Ste 208
Mill Valley, CA 94941
Phone (415) 485-5991

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1700560737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CAMELFORD PL",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112535",
            "telephone_number": "512-784-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CAMINO ALTO STE 208",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412935",
            "telephone_number": "415-528-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE MARRIAGE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-11",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-528-2525",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laura Rose Therapy Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.