Carissa Ariel Lataillade, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

144727 Issued in CA

Practice address

20201 Fairweather St
Canyon Country, CA 91351-1050

Phone

(661) 655-2779

NPI assigned

Oct 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Marriage & Family Therapist

  Medicare reassignment NPD
• Paladin Psychotherapy & Family Counseling, Inc

  • Marriage & Family Therapist
  • Canyon Country, CA
  • NPI 1376306159
  NPD Authorized official

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1144862384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16416 VILLAGE WAY # 135",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913872109",
            "telephone_number": "661-655-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 FAIRWEATHER ST",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913511050",
            "telephone_number": "661-655-2779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23550 Lyons Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Newhall",
            "state": "CA",
            "postal_code": "913215745",
            "country_code": "US",
            "telephone_number": "661-655-2779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24359 Walnut St Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913216101",
            "country_code": "US",
            "telephone_number": "661-655-2779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATAILLADE",
        "first_name": "CARISSA",
        "middle_name": "ARIEL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "144727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric P Kuehne, M.D.
• Ron Kusek, NSCA-CPT, CTNC, FAS
• Vernon Henry Lackman, M.D.
• Edward C Landon, O.D.
• Mary Debra Lasisi
• Ira S Latto, MD
• Mikaela Angela Vistan Leano, FNP-C
• Byong-Wha Esther Lee, MD
• Jordan Wing Lee, PHARMD
• Margaret Lemieux

• Marriage & Family Therapist in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.