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MS. MIA ELANA ROODHUYZEN
NPI 1043662380
Marriage & Family Therapist in San Rafael, CA

Active since July 11, 2016
806 VENDOLA DR, SAN RAFAEL, CA 94903(415) 686-1130 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Sep 14, 2020, Aug 4, 2017 and 1 more (4 updates tracked since 2016).

About Ms. Mia Elana Roodhuyzen NPPES

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

MS. MIA ELANA ROODHUYZEN (NPI 1043662380) is an individual marriage & family therapist in San Rafael, California, licensed in California (121366) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1043662380
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. MIA ELANA ROODHUYZEN
Location Address806 VENDOLA DRSan Rafael, CA 94903-2941
Mailing Address806 Vendola DrSan Rafael, CA 94903-2941 · (415) 686-1130
Phone(415) 686-1130
Sole ProprietorYes
Enumeration DateJuly 11, 2016
Last NPPES UpdateAugust 21, 20244 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1043662380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 121366
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.
806 VENDOLA DR, San Rafael, CA 94903
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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 Mia Roodhuyzen's NPI number?

The NPI number for Mia Roodhuyzen is 1043662380. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Mia Roodhuyzen located?

Mia Roodhuyzen practices at 806 Vendola Dr, San Rafael, CA 94903. The listed phone number is (415) 686-1130.

What is Mia Roodhuyzen's specialty?

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

When was this NPI record last updated?

The NPPES record for Mia Roodhuyzen was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.