Soap Mat, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOAP MAT, LLC

Practice address

1939 W Vista Way
Vista, CA 92083-6019

Phone

(760) 305-7528

Fax

(760) 509-4410

NPI assigned

Jul 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Laura Ellen Rossi, PHD.

Title

Ceo

Phone

(760) 274-3158

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Opioid treatment program

Medicare-enrolled since Feb 23, 2023

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Soap Mat, LLC

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1811719438

  O20200422003269

  Same enrollment

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Francisco Marc Gonzalo, MA, CATC

  • Addiction (Substance Use Disorder) Counselor
  • Oceanside, CA
  • NPI 1497979892
  NPD
• Paul M Little, MD

  • Addiction Medicine (Family Medicine) Physician
  • Murrieta, CA
  • NPI 1144319211
  NPD
• Mary Jean Rabara

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
  • NPI 1447882279

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1477867760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 W VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836019",
            "telephone_number": "760-305-7528",
            "fax_number": "760-509-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 W VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836019",
            "telephone_number": "760-305-7528",
            "fax_number": "760-509-4410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6425 University Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921155808",
            "country_code": "US",
            "telephone_number": "760-305-7528",
            "fax_number": "760-509-4410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOAP MAT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-274-3158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina N Snook, LPCC
• Carol Ann Snyder, MFT
• Deborah Kay Snyder, CADC II
• Ole Warren Snyder, MD
• William Randy Snyder, D.C., L.M.T
• Soheil Ahghari
• Solutions for Change, Inc
• Leslie Levine Sommers, PT
• Carol Song, L.AC.
• Joyce H.H. Soong, RPT

• Community/Behavioral Health Agency in Vista, CA
• Providers in Vista, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.