MEDICARE: MS. NADJA INGEBORG GEIPERT M.A., LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	48544	CA

General Provider Information

NPI Number	:	1568652071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NADJA INGEBORG GEIPERT M.A., LMFT

Provider Business Mailing Address
First Line	:	PO BOX 223
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-0223
Country	:	US
Telephone Number	:	310-601-6071
Fax Number	:

Provider Business Practice Location Address
First Line	:	1380 LEAD HILL BLVD STE 145
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95661-2998
Country	:	US
Telephone Number	:	310-601-6071
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2007
Last Update Date	:	12/18/2025

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