Ursa Lee Born, AMFT, APCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

157278 Issued in CA

Practice address

4415 Sonoma Hwy Ste B
Santa Rosa, CA 95409-4165

Phone

(707) 359-1879

NPI assigned

Nov 5, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1801766910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 SONOMA HWY STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094165",
            "telephone_number": "707-359-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 SONOMA HWY STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094165",
            "telephone_number": "707-359-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORN",
        "first_name": "URSA",
        "middle_name": "LEE",
        "credential": "AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "157278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Lee Booth, M.D.
• Sumiko Nakano Booth
• Kim Borba
• Erica Borges
• Ivonne C Borjon, RN, PHN
• Daniel A Bornstein, DMD
• Sari Bornstein
• Victoria Borquez Paredes
• Vaya Borton
• Erica Joeverley Bosque, LCSW

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, 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 Sep 9, 2026; 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.