AUDREY FRANCES ROTGE (NPI# 1477042844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477042844 |
| Entity Type | Individual |
| Full Name | AUDREY FRANCES ROTGE |
| Practice Address |
11631 Victory Blvd Ste 203 North Hollywood CA 91606-3572 |
| Practice Telephone | 8189083855 |
| Mailing Telephone | 8189083855 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 99253 | CA | Behavioral Health & Social Service Providers |
| Street Address |
11631 VICTORY BLVD STE 203 |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91606-3572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053342675 | Helen I Smith | Psychiatry & Neurology | 11631 Victory Blvd Ste 203, North Hollywood, CA 91606-3572 | 2006-07-05 |
| 1861092314 | Vivian Anaiz Mejia | Marriage & Family Therapist | 11631 Victory Blvd Ste 203, North Hollywood, CA 91606-3572 | 2020-10-26 |
| 1225652159 | Celida Vasquez | Social Worker | 11631 Victory Blvd Ste 203, North Hollywood, CA 91606-3572 | 2020-06-06 |
| 1013546597 | Justine Nader | Marriage & Family Therapist | 11631 Victory Blvd Ste 203, North Hollywood, CA 91606-3572 | 2020-04-06 |
| 1326607227 | Esmeralda Villalobos | Social Worker | 11631 Victory Blvd Ste 203, North Hollywood, CA 91606-3572 | 2019-06-13 |
| 1306317102 | Golnaz Mohebbi | Counselor | 11631 Victory Blvd Ste 203, North Hollywood, CA 91606-3572 | 2018-12-06 |
| 1669926853 | Dana M Harris | Marriage & Family Therapist | 11631 Victory Blvd Ste 203, North Hollywood, CA 91606-3572 | 2016-08-05 |
| 1659672293 | Lakme Batya Elior | Marriage & Family Therapist | 11631 Victory Blvd Ste 203, North Hollywood, CA 91606 | 2010-11-13 |
| 1780832501 | Magaly Gisella Ramos | Rehabilitation Practitioner | 11631 Victory Blvd Ste 203, North Hollywood, CA 91606-3572 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1306322409 | Ally Home Health, Inc. | Home Health | 12801 Victory Blvd, N Hollywood, CA 91606 | 2018-07-12 |
| 1083133730 | Amanda Kardonskiy | Counselor | 12821 Victory Blvd., North Hollywood, CA 91606 | 2017-09-13 |
| 1740719020 | Christian Quijano | Case Manager/Care Coordinator | 6736 Laurel Cyn. Blvd., Suite 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1972032308 | Luis Angel Estrada | Rehabilitation Practitioner | 6736 Laurel Canyon Blvd. Unit 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1003342262 | Mint Services | Medical Genetics | 12183 Victory Blvd, North Hollywood, CA 91606 | 2017-05-10 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1811364755 | Haig Mastikian | Dentist | 10835 Oxnard St, North Hollywood, CA 91606 | 2015-08-26 |
| 1962895805 | Jam Sports Inc | Clinic/Center | 12813 Victory Blvd, North Hollywood, CA 91606 | 2015-03-17 |
| 1750642880 | Heidi Raquel Donaire | Marriage & Family Therapist | 6736 Laurel Canyon Blvd., Ste. 200, North Hollywood, CA 91606 | 2012-06-05 |
| Find all providers in zip 91606 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863410 | Patrick Samuel Knight | Marriage & Family Therapist | 6350 Laurel Canyon Blvd Ste 307, North Hollywood, CA 91606-3223 | 2020-08-28 |
| 1376155655 | Andrew Lawrence Lande | Marriage & Family Therapist | 5030 Strohm Ave, North Hollywood, CA 91601-4151 | 2020-08-19 |
| 1639796311 | Selina Marie Galvan | Marriage & Family Therapist | 6900 Lankershim Blvd, North Hollywood, CA 91605-6110 | 2020-06-29 |
| 1356975130 | Laura Ramirez-rodriguez | Marriage & Family Therapist | 12014 Burton St, North Hollywood, CA 91605-1518 | 2020-03-02 |
| 1770049223 | Georgianna Dale Olivieri | Marriage & Family Therapist | 4975 Clybourn Ave Apt B, North Hollywood, CA 91601-4821 | 2019-02-20 |
| 1447716121 | Marissa Ann Bennett | Marriage & Family Therapist | 5503 Cahuenga Blvd Ste 201, North Hollywood, CA 91601-2944 | 2019-02-18 |
| 1124566005 | Nihal Makhyoun, Phd, Mft, Apa | Marriage & Family Therapist | 10506 Burbank Blvd, North Hollywood, CA 91601-2218 | 2017-02-10 |
| 1598201162 | Rachelle Rebecka Bodle | Marriage & Family Therapist | 10875 Kling St, Apt 202, North Hollywood, CA 91602-1406 | 2017-01-06 |
| 1184168692 | Esther Rbibo | Marriage & Family Therapist | 12355 Sylvan St, North Hollywood, CA 91606-3108 | 2016-12-19 |
| 1073061966 | Araseli Gomez Flores | Marriage & Family Therapist | 11820 Blythe St, North Hollywood, CA 91605-2505 | 2016-09-20 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91606 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.