Organization Active NPI

Burnside Therapy Solutions, Marriage and Family Therapy, Professional Corporation

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1023944980
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BURNSIDE THERAPY SOLUTIONS, MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CORPORATION
Practice address
4865 Old Redwood Hwy
Santa Rosa, CA 95403-1415
Phone
(707) 494-6093
NPI assigned
Jun 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Jaime BurnsideNPI 1346016961
Title
Owner
Phone
(707) 494-6093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4865 Old Redwood Hwy
Santa Rosa, CA 95403-1415

Mailing address

1123 S Cloverdale Blvd Ste E
Cloverdale, CA 95425-4403

National Provider Directory

National Provider Directory

Locations

1123 S Cloverdale Blvd
Ste E
Cloverdale, CA 95425

4865 Old Redwood Hwy
Santa Rosa, CA 95403

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1023944980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 S CLOVERDALE BLVD STE E",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954254403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 OLD REDWOOD HWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031415",
            "telephone_number": "707-494-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNSIDE THERAPY SOLUTIONS, MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "BURNSIDE",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-494-6093"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.