Individual provider Active NPI

Rosa Nely Estrada, M.A. LMFT

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1508013681
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
78860 Issued in CA
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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 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

LicenseStateTypeSpecialty
78860CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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": []
}

Other providers in Tustin, CA

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.

Verify at the official NPI Registry.