Rebecca Gorin, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

119099 Issued in CA

Practice address

1212 5TH St Ste 100-532
Santa Monica, CA 90401-1400

Phone

(802) 881-1245

NPI assigned

Aug 1, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 14, 2024 through Oct 14, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1346764255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 5TH ST STE 100-532",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011400",
            "telephone_number": "802-881-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 5TH ST STE 100-532",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011400",
            "telephone_number": "802-881-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORIN",
        "first_name": "REBECCA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "0001940",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Francis Gordon, L.AC.
• Erlinda Maria Gordon, MD
• Jay N. Gordon, M.D., F.A.A.P.
• Martin A. Gordon, M.D.
• Rita Gordon, CNM
• Glenn Gorlitsky, M.D.
• Gorlitsky, Stein & Hernandez Medical Group, Co.
• Hailey Gorski
• Anita Michelle Gorwara, M.D.
• Brittani Gosh

• Marriage & Family Therapist in Santa Monica, CA
• Providers in Santa Monica, 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 Feb 16, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.