Individual provider Active NPI

Rebecca Louise Rodriguez, MA, LMFT

  • Marriage & Family Therapist
  • Orange, CA
National Provider Identifier
1639817505
Registry record updated May 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT115025 Issued in CA
Practice address
1820 W Orangewood Ave
Orange, CA 92868-2043
Phone
(714) 602-7940
NPI assigned
May 21, 2022
Last updated
May 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2022

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 LMFT115025 CA Primary

Addresses

Primary practice location

1820 W Orangewood Ave
Orange, CA 92868-2043

Mailing address

1820 W Orangewood Ave Ste 111
Orange, CA 92868-2078
Phone (714) 602-7940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 8, 2024 through Mar 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT115025CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Restored & Connected Families Marriage & Family Therapist CurrentSince May 29, 2022 Accepting new patients

Locations

1820 W Orangewood Ave
Ste 111
Orange, CA 92868
Phone (714) 602-7940

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, 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": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1639817505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W ORANGEWOOD AVE STE 111",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682078",
            "telephone_number": "714-602-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W ORANGEWOOD AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682043",
            "telephone_number": "714-602-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "REBECCA",
        "middle_name": "LOUISE",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-21",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT115025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.