1. Home
  2. Directory
  3. California
  4. Roseville
  5. Marriage Family Therapist
  6. NPI Profile

GINA RODERICKS LMFT
NPI 1376068932
Marriage & Family Therapist in Roseville, CA

Active since August 04, 2017PECOS EnrolledAccepts Medicare Assignment
1620 SANTA CLARA DR STE 100, ROSEVILLE, CA 95661(916) 671-2101 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2022, Jul 21, 2022, Oct 9, 2018 and 1 more (4 updates tracked since 2017).

About Gina Rodericks Lmft NPPES

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

GINA RODERICKS LMFT (NPI 1376068932) is an individual marriage & family therapist in Roseville, California, licensed in California (135002) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376068932
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameGINA RODERICKSCredential: LMFT
Location Address1620 SANTA CLARA DR STE 100Roseville, CA 95661-3559
Mailing Address1620 Santa Clara Dr Ste 100Roseville, CA 95661-3559 · (916) 671-2101
Phone(916) 671-2101
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 4, 2017
Last NPPES UpdateDecember 15, 20224 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1376068932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 135002
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 ListedSocial WorkerTaxonomy 104100000X · License 103238 (CA)
1620 SANTA CLARA DR STE 100, Roseville, CA 95661
Open in Google Maps ↗

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

Gina Rodericks Lmft 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 ID8022460179
PECOS Enrollment IDI20240115000542
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 20

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

BRANDY LUISSHA BAGGETT
Counselor (Mental Health)
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 786-3750
ALICIA VINEY
Peer Specialist
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 786-3750
MAKENNA RENEE LANDINI
Rehabilitation Practitioner
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 809-7222
GORJIA MALIK
Community Health Worker
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 786-3750
MR. RYAN CHARLES WEATHEROY
Rehabilitation Practitioner
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 786-3750
JESSICA COGGINS
Community Health Worker
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 786-3750
OFSANIA POPAL
Day Training/Habilitation Specialist
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 786-3750
TIERRA AKELA PHILLIPS
Community Health Worker
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 786-3750

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 Gina Rodericks's NPI number?

The NPI number for Gina Rodericks is 1376068932. It was assigned to this individual provider in the NPPES registry on August 4, 2017.

Where is Gina Rodericks located?

Gina Rodericks practices at 1620 Santa Clara Dr Ste 100, Roseville, CA 95661. The listed phone number is (916) 671-2101.

What is Gina Rodericks's specialty?

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

Is Gina Rodericks enrolled in Medicare?

Yes. Gina Rodericks 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 Gina Rodericks was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.