Active NPI
Boe Elizabeth Roberts, LMFT
- Mental Health Counselor
- Mill Valley, CA
National Provider Identifier
1891022356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 275 Miller Ave
Mill Valley, CA 94941-2851 - Phone
- 14152900545
- NPI assigned
- Nov 4, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
275 Miller Ave
Mill Valley, CA 94941-2851
Mailing address
275 Miller Ave
Mill Valley, CA 94941-2851
Phone (415) 290-0545
Other practice location 1
709 Mission St
Santa Cruz, CA 95060-3614
Phone (831) 429-8350
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1891022356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 MILLER AVE",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412851",
"telephone_number": "14152900545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 MILLER AVE",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412851",
"telephone_number": "14152900545"
}
],
"practiceLocations": [
{
"address_1": "709 Mission St",
"address_purpose": "LOCATION",
"city": "Santa Cruz",
"state": "CA",
"postal_code": "950603614",
"country_code": "US",
"telephone_number": "831-429-8350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "BOE",
"middle_name": "ELIZABETH",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Valley, CA
- Robert J. Riopelle, M.D.
- Rising Tide Licensed Clinical Social Worker a Professional Corp
- Rite Aid Corporation
- Riverside Radiology Medical Group, Inc.
- Robert E Belknap MD Inc
- Noah Gray Roberts, PT, DPT
- Lisa Robertson Veyssiere, LCSW
- Curtis Frank Robinson, M.D.
- Rodney R. Heschong, RPT, Inc.
- Lynn Susan Rogers, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.