Active NPI
Rebekah Roberts
- Marriage & Family Therapist
- Santa Rosa, CA
National Provider Identifier
1902458573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 151615
- Practice address
- 1400 Guerneville Rd Ste 1
Santa Rosa, CA 95403-4128 - Phone
- (707) 890-1303
- NPI assigned
- Jul 12, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 19474 | CA | |
| Marriage & Family Therapist | 106H00000X | 151615 | CA | Primary |
Addresses
Primary practice location
1400 Guerneville Rd Ste 1
Santa Rosa, CA 95403-4128
Mailing address
1400 Guerneville Rd Ste 1
Santa Rosa, CA 95403-4128
Phone (707) 890-1303
Other practice location 1
1260 N Dutton Ave Ste 220
Santa Rosa, CA 95401-4686
Phone (707) 568-2300
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 |
|---|---|---|---|
| 151615 | CA | MD | Psychiatry Physician |
| 19474 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeworks of Sonoma County | Mental Health | Past | Accepting new patients |
| Lifeworks of Sonoma County | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Santa Rosa, CA
- NPI 1063557171
-
- Community/Behavioral Health Agency
- Santa Rosa, CA
- NPI 1619295839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1902458573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 GUERNEVILLE RD STE 1",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954034128",
"telephone_number": "707-890-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 GUERNEVILLE RD STE 1",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954034128",
"telephone_number": "707-890-1303"
}
],
"practiceLocations": [
{
"address_1": "1260 N Dutton Ave Ste 220",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954014686",
"country_code": "US",
"telephone_number": "707-568-2300",
"fax_number": "707-568-2304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "REBEKAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-12",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "19474",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "151615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.