Individual provider Active NPI

Tanujini Rosalind Carlson, MA LMFT

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1497051916
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
6030 SE 52ND Ave Ste 204
Portland, OR 97206-6887
Phone
(971) 402-9488
NPI assigned
Jan 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 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 Primary

Addresses

Primary practice location

6030 SE 52ND Ave Ste 204
Portland, OR 97206-6887

Mailing address

9390 SW Ibach CT
Tualatin, OR 97062-7073
Phone (712) 350-9149

Other practice location 1

9390 SW Ibach Ct
Tualatin, OR 97062-7073
Phone (712) 005-7569

Other identifiers 1

IdentifierTypeStateIssuer
500676797MedicaidOR

Other names 1

  • Tanujini Rosalind Senthirajah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 16, 2025 through Jun 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Therapy Services, LLC Marriage & Family Therapist CurrentSince Mar 11, 2025 Accepting new patients
Roots Therapy NW LLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

6030 SE 52nd Ave
Ste 204
Portland, OR 97206
Phone (971) 200-5789

Organizations & group practices 2

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": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1497051916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9390 SW IBACH CT",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627073",
            "telephone_number": "712-350-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 SE 52ND AVE STE 204",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066887",
            "telephone_number": "971-402-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9390 SW Ibach Ct",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970627073",
            "country_code": "US",
            "telephone_number": "712-005-7569",
            "fax_number": "971-203-2048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "TANUJINI",
        "middle_name": "ROSALIND",
        "name_prefix": "Ms.",
        "credential": "MA LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500676797",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANUJINI",
            "last_name": "SENTHIRAJAH",
            "middle_name": "ROSALIND",
            "credential": "MA MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.