Individual provider Active NPI

Arianne Renee Advocate, MA, MFTI

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1831312677
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF49565 Issued in CA
Practice address
132 Leland St
Santa Rosa, CA 95404
Phone
(707) 548-4305
NPI assigned
Apr 10, 2007
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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 IMF49565 CA Primary

Addresses

Primary practice location

132 Leland St
Santa Rosa, CA 95404

Mailing address

PO Box 597
Occidental, CA 95465-0597
Phone (707) 874-1987

Other practice location 1

19375 Highway 116
Monte Rio, CA 95462-0519
Phone (707) 865-1200

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
I20240308000220 CA Practitioner - Marriage and Family Therapist 8628414075 Practice locations: Sebastopol, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

536 S Main St
Sebastopol, CA 95472-4261
Phone (707) 548-4305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF49565CAMDMarriage & Family Therapist
51796CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Psychology Center, Inc PastSince Jul 26, 2022 Accepting new patients
Redwood Psychology Center, 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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1831312677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "OCCIDENTAL",
            "state": "CA",
            "postal_code": "954650597",
            "telephone_number": "707-874-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 LELAND ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95404",
            "telephone_number": "707-548-4305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19375 Highway 116",
            "address_purpose": "LOCATION",
            "city": "Monte Rio",
            "state": "CA",
            "postal_code": "954620519",
            "country_code": "US",
            "telephone_number": "707-865-1200",
            "fax_number": "707-865-3151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADVOCATE",
        "first_name": "ARIANNE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MA, MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF49565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.