Heidi Samuelian, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

53588 Issued in CA

Practice address

2262 Carmel Valley Rd, St D
Del Mar, CA 92014-3751

Phone

(619) 259-0215

NPI assigned

Oct 1, 2019

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Foresight Mental Health

  • Counselor
  • Sacramento, CA
  • NPI 1902390537

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1346881364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 FLAIR ENCINITAS DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242944",
            "telephone_number": "858-699-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 CARMEL VALLEY RD, ST D",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143751",
            "telephone_number": "619-259-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELIAN",
        "first_name": "HEIDI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "53588",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith E. Roth, LCSW, LMFT, PSY D.
• Mark A. Rutley, DDS
• Thomas J. Sabourin, M.D.
• Antone F Salel, M.D.
• Nathan Michael Samskey, PHARMD
• San Diego Family Services
• San Diego Health Psychology and Wellness
• San Diego Therapy Care
• Renato Sanchez
• Jace Alexander Sandell, ND

• Marriage & Family Therapist in Del Mar, CA
• Providers in Del Mar, 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 May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.