Individual provider Active NPI

Rosealinda Danielle Carrillo

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1487096400
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
103075 Issued in CA
Practice address
10652 Burton St Apt a
Riverside, CA 92505-1637
Phone
(909) 496-6407
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 103075 CA Primary

Addresses

Primary practice location

10652 Burton St Apt a
Riverside, CA 92505-1637

Mailing address

PO Box 2215
San Bernardino, CA 92406-2215
Phone (909) 496-6407

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
I20240916002387 CA Practitioner - Marriage and Family Therapist 8123560935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TML Behavioral Health Group LLC PastSince Apr 21, 2024 Accepting new patients
Spring to Autumn Family Counseling, Inc. Marriage & Family Therapist PastSince Sep 1, 2021 Accepting new patients
Mindful Lemon Marriage and Family Therapy, Inc Marriage & Family Therapist PastSince Sep 1, 2021 Accepting new patients
Salinas Family Counseling Inc PastSince Aug 15, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1487096400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2215",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924062215",
            "telephone_number": "909-496-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10652 BURTON ST APT A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051637",
            "telephone_number": "909-496-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "ROSEALINDA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.