Individual provider Active NPI

Roberta Saunders, M.F.T.

  • Mental Health Counselor
  • Rohnert Park, CA
National Provider Identifier
1891711818
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC20071 Issued in CA
Practice address
100 Avram Ave
104A
Rohnert Park, CA 94928-3158
Phone
(707) 829-8373
Fax
(707) 823-9435
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC20071 CA Primary

Addresses

Primary practice location

100 Avram Ave
104A
Rohnert Park, CA 94928-3158

Mailing address

7180 Evan Ave
Sebastopol, CA 95472-4424
Phone (707) 829-8373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 23, 2024 through Aug 23, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC20071CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891711818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 EVAN AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724424",
            "telephone_number": "707-829-8373",
            "fax_number": "707-823-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVRAM AVE",
            "address_2": "104A",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949283158",
            "telephone_number": "707-829-8373",
            "fax_number": "707-823-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "ROBERTA",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC20071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rohnert Park, CA

Sources for this page

Verify at the official NPI Registry.