Individual provider Active NPI

Paulina Samson

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1285219055
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
143872 Issued in CA
Practice address
213 N Glendale Ave # 1154
Glendale, CA 91206-4455
Phone
(747) 316-1603
NPI assigned
Mar 13, 2021
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 143872 CA Primary

Addresses

Primary practice location

213 N Glendale Ave # 1154
Glendale, CA 91206-4455

Mailing address

3325 Mary St
La Crescenta, CA 91214-2557

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
I20240110002418 CA Practitioner - Marriage and Family Therapist 8729439112 Reassigns benefits to 1 organization
Practice locations: El Monte, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tarzana Treatment Centers IncGroup PAC ID 5991897845, 55 clinicians

Practice addresses (Care Compare)

6022 Variel Ave
Woodland Hills, CA 91367-3719
Phone (800) 996-1051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tarzana Treatment Centers, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Tarzana Treatment Centers, Inc. Current Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815

6022 Variel Ave
Woodland Hills, CA 91367
Phone (818) 274-0304

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, 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": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1285219055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 MARY ST",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N GLENDALE AVE # 1154",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064455",
            "telephone_number": "747-316-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "PAULINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-13",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "143872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.