LAURA ROSE MFT
NPI 1720758196
Marriage & Family Therapist in Mill Valley, CA

Q: What is Laura Rose's NPI number?

The NPI number for Laura Rose is 1720758196. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Q: What is Laura Rose's specialty?

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

Q: Is Laura Rose enrolled in Medicare?

No. Laura Rose has opted out of Medicare through May 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Laura Rose was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 16, 2021Opted out of Medicare · through May 10, 2028

45 CAMINO ALTO STE 208, MILL VALLEY, CA 94941(512) 784-3953 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Laura Rose Mft NPPES

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

LAURA ROSE MFT (NPI 1720758196) is an individual marriage & family therapist in Mill Valley, California, licensed in California (83808) and active in the NPI registry since September 2021. She has opted out of Medicare through May 10, 2028.

NPPES Registry Identity

NPI1720758196

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameLAURA ROSECredential: MFT

Location Address45 CAMINO ALTO STE 208Mill Valley, CA 94941-2935

Mailing Address27 Camelford PlOakland, CA 94611-2535 · (512) 784-3953

Phone(512) 784-3953

Sole ProprietorNo

Enumeration DateSeptember 16, 2021

NPPES CertifiedSeptember 16, 2021

✔ NPI 1720758196 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 · 83808

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.

45 CAMINO ALTO STE 208, Mill Valley, CA 94941

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Laura Rose Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 10, 2024 through May 10, 2028.

Opt-Out Effective DateMay 10, 2024

Opt-Out In Effect ThroughMay 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

ALLISON WAUGH MFT

Marriage & Family Therapist