Active NPI
Heather Christine Rousselo
- Marriage & Family Therapist
- Valencia, CA
National Provider Identifier
1114041522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC49149
- Practice address
- 28001 Smyth Dr Ste 104
Valencia, CA 91355-4029 - Phone
- (661) 212-2997
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC49149 | CA | Primary |
Addresses
Primary practice location
28001 Smyth Dr Ste 104
Valencia, CA 91355-4029
Mailing address
19684 Newhouse St
Santa Clarita, CA 91351-2048
Phone (661) 212-2997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 2, 2025 through May 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC49149 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Space Marriage & Family Counseling Corp | Current | Accepting new patients |
Locations
28100 Bouquet Canyon Rd
Ste 201
Santa Clarita, CA 91350
Phone (661) 212-2997
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 and National Provider Directory roles.
-
- Group Psychotherapy Psychologist
- Santa Clarita, CA
- NPI 1881333441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1114041522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19684 NEWHOUSE ST",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913512048",
"telephone_number": "661-212-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28001 SMYTH DR STE 104",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913554029",
"telephone_number": "661-212-2997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSSELO",
"first_name": "HEATHER",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC49149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.