Active NPI
Tanujini Rosalind Carlson, MA LMFT
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1497051916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500676797 | Medicaid | OR |
Other names 1
- Tanujini Rosalind Senthirajah
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Therapy Services, LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Roots Therapy NW LLC | Current | 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.
-
- Marriage & Family Therapist
- Tualatin, OR
- NPI 1619772290
-
- Mental Health Counselor
- Portland, OR
- NPI 1831789098
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.