Active NPI
Roberta Saunders, M.F.T.
- Mental Health Counselor
- Rohnert Park, CA
National Provider Identifier
1891711818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC20071
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC20071 | CA | MD | Mental 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.