Individual provider Active NPI

Rebekah Roberts

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1902458573
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
151615 Issued in CA
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

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
151615CAMDPsychiatry Physician
19474CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks of Sonoma County Mental Health PastSince Aug 1, 2019 Accepting new patients
Lifeworks of Sonoma County PastSince Aug 1, 2019 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.

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.

Verify at the official NPI Registry.