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MRS. MICHELLE YVONNE ROUSH LMFT
NPI 1770836942
Marriage & Family Therapist in Roseville, CA

Active since October 24, 2012PECOS EnrolledAccepts Medicare Assignment
2999 DOUGLAS BLVD, STE 240, ROSEVILLE, CA 95661(916) 574-1000(916) 574-1006 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Michelle Yvonne Roush Lmft NPPES

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

MRS. MICHELLE YVONNE ROUSH LMFT (NPI 1770836942) is an individual marriage & family therapist in Roseville, California, licensed in California (52222) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1770836942
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. MICHELLE YVONNE ROUSHCredential: LMFT
Location Address2999 DOUGLAS BLVD, STE 240Roseville, CA 95661-3840
Mailing Address2999 Douglas Blvd, Ste 240Roseville, CA 95661-3840 · (916) 574-1000 · Fax (916) 574-1006
Phone(916) 574-1000
Fax(916) 574-1006
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 24, 2012
✔ NPI 1770836942 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 · 52222
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.
2999 DOUGLAS BLVD, Roseville, CA 95661
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Michelle Yvonne Roush 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 ID1759855679
PECOS Enrollment IDI20260701003426
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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Roush reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
101 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

PACIFIC HEALTHCARE PARTNERS LLC
Clinic/Center (Primary Care)
2999 DOUGLAS BLVD, SUITE 180
ROSEVILLE, CA 95661
Placer County (916) 918-9418
PACIFIC MEDICAL PARTNERS PC
Internal Medicine
2999 DOUGLAS BLVD, STE 180
ROSEVILLE, CA 95661
Placer County (916) 918-3287

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 Michelle Roush's NPI number?

The NPI number for Michelle Roush is 1770836942. It was assigned to this individual provider in the NPPES registry on October 24, 2012.

Where is Michelle Roush located?

Michelle Roush practices at 2999 Douglas Blvd Ste 240, Roseville, CA 95661. The listed phone number is (916) 574-1000.

What is Michelle Roush's specialty?

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

Is Michelle Roush enrolled in Medicare?

Yes. Michelle Roush 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.

Which organization bills Medicare for Michelle Roush's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Roush reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Roush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Roush was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.