Individual provider Active NPI

Anita Cooper-Marquez, MA, LMFT#108281

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1861853806
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
108281 Issued in CA
Practice address
2151 Professional Dr Ste 102
Roseville, CA 95661-3761
Phone
(916) 672-2166
NPI assigned
Mar 18, 2016
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 108281 CA
Marriage & Family Therapist 106H00000X 108281 CA Primary

Addresses

Primary practice location

2151 Professional Dr Ste 102
Roseville, CA 95661-3761

Mailing address

2151 Professional Dr Ste 102
Roseville, CA 95661-3761
Phone (916) 672-2166

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 6, 2025 through Jan 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
108281CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1861853806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 PROFESSIONAL DR STE 102",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613761",
            "telephone_number": "916-672-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 PROFESSIONAL DR STE 102",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613761",
            "telephone_number": "916-672-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER-MARQUEZ",
        "first_name": "ANITA",
        "name_prefix": "Ms.",
        "credential": "MA, LMFT#108281",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "108281",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.