Active NPI
Rosa Nely Estrada, M.A. LMFT
- Marriage & Family Therapist
- Tustin, CA
National Provider Identifier
1508013681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 78860
- Practice address
- 2522 Chambers Rd Ste 125
2522 Chambers Rd Ste 100
Tustin, CA 92780-6962 - Phone
- (949) 463-4949
- NPI assigned
- Aug 20, 2008
- Last updated
- Nov 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 78860 | CA | Primary |
Addresses
Primary practice location
2522 Chambers Rd Ste 125
2522 Chambers Rd Ste 100
Tustin, CA 92780-6962
Mailing address
2522 Chambers Rd Ste 125
2525 Chambers Rd Ste 100
Tustin, CA 92780-6962
Phone (949) 463-4949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78860 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inside Out Counseling Services | Past | Accepting new patients | |
| Inside Out Counseling Services Inc | Marriage & Family Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rosa Nely Estrada
- Community/Behavioral Health Agency
- Tustin, CA
- NPI 1548616923
-
- Marriage & Family Therapist
- Tustin, CA
- NPI 1912562877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1508013681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2522 CHAMBERS RD STE 125",
"address_2": "2525 CHAMBERS RD STE 100",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806962",
"telephone_number": "949-463-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2522 CHAMBERS RD STE 125",
"address_2": "2522 CHAMBERS RD STE 100",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806962",
"telephone_number": "949-463-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "ROSA NELY",
"credential": "M.A. LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "78860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Edgar Espinoza
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- Elisabeth Virginia Esquibel
- Essential Health Center
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- Valerie Roxane Estrada
- Sol Enriquez Estrella, FNP-BC
- Ets Express Trans Sys
- Eunmee Lee Chiropractic PC (Healing Haven Chiropractic)
- Leslie Evangelista
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.