Individual provider Active NPI

Tara Burnley, LMFT

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1003351719
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
96648 Issued in CA
Practice address
3160 Telegraph Rd
Suite 200
Ventura, CA 93003-3233
Phone
(805) 570-3741
NPI assigned
Jan 4, 2017
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 96648 CA Primary

Addresses

Primary practice location

3160 Telegraph Rd
Suite 200
Ventura, CA 93003-3233

Mailing address

PO Box 41543
Santa Barbara, CA 93140-1543
Phone (805) 570-3741

Other identifiers 1

IdentifierTypeStateIssuer
800687216MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730002185 CA Practitioner - Marriage and Family Therapist 7719494061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Beachside Adult and Family Therapy IncGroup PAC ID 3870930035, 7 clinicians

Practice addresses (Care Compare)

3160 Telegraph Rd
Suite 200
Ventura, CA 93003-3250
Phone (805) 642-4611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
96648CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beachside Adult and Family Therapy Inc Marriage & Family Therapist CurrentSince Jun 2, 2025 Accepting new patients

Locations

3160 Telegraph Rd
Ste 200
Ventura, CA 93003
Phone (805) 620-0346

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1003351719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41543",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931401543",
            "telephone_number": "805-570-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 TELEGRAPH RD",
            "address_2": "SUITE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033233",
            "telephone_number": "805-570-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNLEY",
        "first_name": "TARA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "96648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800687216",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.