Victoria Rodgers, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

100647 Issued in CA

Practice address

188 E 17TH St Ste 201
Costa Mesa, CA 92627-3702

Phone

(714) 388-6376

NPI assigned

Nov 24, 2019

Reactivated

Feb 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Truth and Harmony Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Costa Mesa, CA
  • NPI 1578109609
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1568008670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "SUNSET BEACH",
            "state": "CA",
            "postal_code": "907420026",
            "telephone_number": "330-212-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 E 17TH ST STE 201",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273702",
            "telephone_number": "714-388-6376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26131 Marguerite Pkwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926923161",
            "country_code": "US",
            "telephone_number": "714-388-6376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "VICTORIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-24",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "deactivation_date": "2019-11-25",
        "reactivation_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Ivan Peejay Robles
• Carlos Infante Robles, PHARMACIST
• Mason Richard Robles
• Danilo Arturo Roca
• Rock Solid Recovery
• Francisco Juan Rodriguez Flores
• Elizabeth Rodriguez Magana
• Diana A Rodriguez-Alexander, MSW
• Abril Andrea Rodriguez
• Alexandra Rodriguez

• Marriage & Family Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.