NAQUIELA BUCKNER I CMA, MFT
NPI 1033655568
Marriage & Family Therapist in Roseville, CA

Active since January 08, 2017PECOS EnrolledAccepts Medicare Assignment
1780 VERNON ST, ROSEVILLE, CA 95678(916) 782-1111 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2025, Oct 21, 2020, Jan 8, 2017 (3 updates tracked since 2017).

About Naquiela Buckner I Cma, Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAQUIELA BUCKNER I CMA, MFT (NPI 1033655568) is an individual marriage & family therapist in Roseville, California, licensed in California (AMFT119229) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033655568
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNAQUIELA BUCKNER ICredential: CMA, MFT
Location Address1780 VERNON STRoseville, CA 95678-6311
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 8, 2017
Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
NPI 1033655568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · AMFT119229
Definition

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License APCC7878 (CA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1780 VERNON ST, Roseville, CA 95678

Other Names 1

Other Name (5)Naquiela Tushia Buckner-smith Mft

Secondary Practice Locations 2

Location 11444 Florida AveModesto, CA 95350-4400 · Phone (209) 661-8840 · Fax (209) 661-4840
Location 23425 Coffee Rd Ste A2Modesto, CA 95355-1582 · Phone (209) 524-9401 · Fax (209) 491-7584

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Naquiela Buckner I Cma, Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42723132
PECOS Enrollment IDI20250701004013
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
1780 VERNON ST
ROSEVILLE, CA 95678

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Naquiela Buckner's NPI number?

The NPI number for Naquiela Buckner is 1033655568. It was assigned to this individual provider in the NPPES registry on January 8, 2017. The provider is also known as Naquiela Tushia Buckner-Smith Mft.

Where is Naquiela Buckner located?

Naquiela Buckner practices at 1780 Vernon St, Roseville, CA 95678. The listed phone number is (916) 782-1111.

What is Naquiela Buckner's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Naquiela Buckner enrolled in Medicare?

Yes. Naquiela Buckner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Naquiela Buckner was last updated on July 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.