Active NPI
Shelli B. W. Rose, LMFT
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1841303617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 41142
- Practice address
- 9343 Tech Center Dr
Suite #200
Sacramento, CA 95826-2563 - Phone
- (916) 779-2477
- Fax
- (916) 649-7158
- NPI assigned
- Aug 16, 2006
- 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 | MFC 41142 | CA | Primary |
Addresses
Primary practice location
9343 Tech Center Dr
Suite #200
Sacramento, CA 95826-2563
Mailing address
9343 Tech Center Dr
Suite #200
Sacramento, CA 95826-2563
Phone (916) 779-2477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 41142 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332374400000",
"number": "1841303617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9343 TECH CENTER DR",
"address_2": "SUITE #200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958262563",
"telephone_number": "916-779-2477",
"fax_number": "916-649-7158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9343 TECH CENTER DR",
"address_2": "SUITE #200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958262563",
"telephone_number": "916-779-2477",
"fax_number": "916-649-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "SHELLI",
"middle_name": "B. W.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2012-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 41142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.