Rachelle Rebecka Bodle, LMFT
Individual provider Active NPI Marriage & Family Therapist · Newhall, CA
NPI 1598201162 · NPPES record last updated Dec 11, 2025
Key facts
- NPI
- 1598201162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 112515 (CA)
- Practice address
- 22621 Lyons Ave Ste 201
Newhall, CA 91321-1782 - Phone
- (818) 326-4558
- NPI assigned
- Jan 6, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sud Specialty Group - Ca
Practice addresses (Care Compare)
5201 Great America Pkwy
Suite 320
Santa Clara, CA 95054-1140
Phone (323) 968-6182
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260212002260 | CA | Practitioner - Marriage and Family Therapist | 0648750331 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112515 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sud Specialty Group - Ca | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 112515 | CA | Yes |
Addresses
Primary practice location
22621 Lyons Ave Ste 201
Newhall, CA 91321-1782
Mailing address
22621 Lyons Ave Ste 201
Newhall, CA 91321-1782
Phone (818) 860-2770
Other providers in Newhall, CA
- Bestyle Home Care Services Inc.
- Beyond the Spectrum
- Joni Arti Bhutra
- Tina M. Biondo
- Bittle Inc
- Sophia Ariana Bourret
- Meghan Brady
- Brenda Cervantes Therapy Services, Inc.
- Rebecca Renee Briece
- Tracy Ann Broderick
All providers in Newhall, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.