Individual provider Active NPI

Darlynn Shoshana Roscoe, LMFT

  • Marriage & Family Therapist
  • Thousand Oaks, CA
National Provider Identifier
1346665734
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
78870 Issued in CA
Practice address
25 Rolling Oaks Dr Ste 208
Thousand Oaks, CA 91361-1009
Phone
(805) 402-8617
NPI assigned
Feb 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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 78870 CA Primary

Addresses

Primary practice location

25 Rolling Oaks Dr Ste 208
Thousand Oaks, CA 91361-1009

Mailing address

551 Arroyo del Mar
Camarillo, CA 93010-5961
Phone (805) 402-8617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1346665734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 ARROYO DEL MAR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105961",
            "telephone_number": "805-402-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROLLING OAKS DR STE 208",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611009",
            "telephone_number": "805-402-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSCOE",
        "first_name": "DARLYNN",
        "middle_name": "SHOSHANA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "78870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.