Individual provider Active NPI

Kara Tiffany-Roberts, M.A., LMFT, LAADC

  • Marriage & Family Therapist
  • Murrieta, CA
National Provider Identifier
1548506579
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 52503 Issued in CA
Practice address
25114 Jefferson Ave Ste a
Murrieta, CA 92562-1701
Phone
(951) 795-5828
NPI assigned
Dec 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LR 1581012 CA
Marriage & Family Therapist 106H00000X MFC 52503 CA Primary

Addresses

Primary practice location

25114 Jefferson Ave Ste a
Murrieta, CA 92562-1701

Mailing address

PO Box 1273
Murrieta, CA 92564-1273
Phone (951) 201-9363

Other practice location 1

39580 Bonaire Way
Murrieta, CA 92563-2549
Phone (951) 795-5828

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
I20250722003864 CA Practitioner - Marriage and Family Therapist 9335655711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
National University of Arts and Sciences, Medical Department, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

4633 Old Ironsides Dr
Suite 304
Santa Clara, CA 95054-1846
Phone (866) 280-0260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LR 1581012CAMDAddiction (Substance Use Disorder) Counselor
MFC 52503CAMDMarriage & Family Therapist
52503CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca Addiction (Substance Use Disorder) CurrentSince Jul 7, 2025 Accepting new patients

Locations

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 1

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": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1548506579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1273",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925641273",
            "telephone_number": "951-201-9363",
            "fax_number": "951-767-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25114 JEFFERSON AVE STE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621701",
            "telephone_number": "951-795-5828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39580 Bonaire Way",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925632549",
            "country_code": "US",
            "telephone_number": "951-795-5828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIFFANY-ROBERTS",
        "first_name": "KARA",
        "credential": "M.A., LMFT, LAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LR 1581012",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 52503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.