Individual provider Active NPI

Theresa Christine Rodriguez

  • Marriage & Family Therapist
  • Alhambra, CA
National Provider Identifier
1467731661
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
144539 Issued in CA
Practice address
1120 N Monterey St Apt 6
Alhambra, CA 91801-1021
Phone
(626) 858-4920
NPI assigned
Aug 5, 2011
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 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 144539 CA Primary

Addresses

Primary practice location

1120 N Monterey St Apt 6
Alhambra, CA 91801-1021

Mailing address

1120 N Monterey St Apt 6
Alhambra, CA 91801-1021
Phone (760) 662-6740

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
I20250904004890 CA Practitioner - Marriage and Family Therapist 8628598141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1499 Enchante Way
Oceanside, CA 92056-5676

5201 Great America Pkwy
Suite 320
Santa Clara, CA 95054-1121

80 Pine St
FL 21
New York, NY 10005-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wings of Change Individual, Couples and Family Therapy Incorporated CurrentSince Jun 1, 2025 Accepting new patients
Wings of Change Therapy Current Accepting new patients
Social Model Recovery Systems, Inc. PastSince Feb 1, 2024 Accepting new patients
Social Model Recovery Systems, Inc. PastSince Feb 1, 2024 Accepting new patients

Organizations & group practices 5

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": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1467731661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N MONTEREY ST APT 6",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011021",
            "telephone_number": "760-662-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N MONTEREY ST APT 6",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011021",
            "telephone_number": "626-858-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "THERESA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "144539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.