Active NPI
Rebecca Marie Santana, MA, LMFT, ATR
- Marriage & Family Therapist
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 124237
- Practice address
- 505 N Avon St
Burbank, CA 91505-3535 - Phone
- (818) 932-4862
- NPI assigned
- Feb 25, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 18-484 | CA | |
| Marriage & Family Therapist | 106H00000X | 124237 | CA | Primary |
Addresses
Primary practice location
505 N Avon St
Burbank, CA 91505-3535
Mailing address
505 N Avon St
Burbank, CA 91505-3535
Phone (818) 932-4862
Other names 1
- Rebecca Marie Yeretzian-Santana
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18191 Von Karman Ave
Suite 100
Irvine, CA 92612-7103
Phone (619) 639-9730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124237 | CA | MD | Social Worker |
| 18-484 | CA | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Marriage & Family Therapist | Current | Accepting new patients |
| Mood Clinical, P. C. | Current | Accepting new patients | |
| Glenn Medical Center, LLC | Past | Accepting new patients |
Locations
18191 Von Karman Ave
Ste 100
Irvine, CA 92612
Phone (530) 889-7293
50 California St
Ste 1500
San Francisco, CA 94111
Phone (310) 648-0700
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 3
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.
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-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
Marriage & Family Therapist
-
- Critical Access Hospital
- Willows, CA
- NPI 1619929759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1548916828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N AVON ST",
"city": "BURBANK",
"state": "CA",
"postal_code": "915053535",
"telephone_number": "818-932-4862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N AVON ST",
"city": "BURBANK",
"state": "CA",
"postal_code": "915053535",
"telephone_number": "818-932-4862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTANA",
"first_name": "REBECCA",
"middle_name": "MARIE",
"credential": "MA, LMFT, ATR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-25",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "CA",
"license": "18-484",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "124237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "YERETZIAN-SANTANA",
"middle_name": "MARIE",
"credential": "MA, LMFT, ATR",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.