Individual provider Active NPI

Rosario Tabares, LMFT

  • Marriage & Family Therapist
  • Santa Clarita, CA
National Provider Identifier
1073167458
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138045 Issued in CA
Practice address
19040 Soledad Canyon Rd
Santa Clarita, CA 91351-3363
Phone
(661) 441-3124
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 138045 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 119950 CA

Addresses

Primary practice location

19040 Soledad Canyon Rd
Santa Clarita, CA 91351-3363

Mailing address

PO Box 829
South Gate, CA 90280-8829
Phone (323) 696-1889

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
I20240603000982 CA Practitioner - Marriage and Family Therapist 9436691771 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119950CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Counseling Marriage & Family Therapist CurrentSince May 1, 2024 Accepting new patients
R & R Family Therapy Professional Corporation Marriage & Family Therapist Past Accepting new patients

Locations

11835 W Olympic Blvd
Ste 815E
Los Angeles, CA 90064
Phone (323) 332-9905

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1073167458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902808829",
            "telephone_number": "323-696-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19040 SOLEDAD CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913513363",
            "telephone_number": "661-441-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABARES",
        "first_name": "ROSARIO",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138045",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.