Individual provider Active NPI

Meredith Rossi

  • Marriage & Family Therapist
  • Burbank, CA
National Provider Identifier
1679174684
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121873 Issued in CA
Practice address
245 E Olive Ave Ste 400
Burbank, CA 91502-1214
Phone
(818) 823-6677
Fax
(626) 737-6034
NPI assigned
Nov 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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 121873 CA Primary

Addresses

Primary practice location

245 E Olive Ave Ste 400
Burbank, CA 91502-1214

Mailing address

41 E Foothill Blvd Ste 102
Arcadia, CA 91006-2361
Phone (626) 701-4249

Other identifiers 1

IdentifierTypeStateIssuer
121873OtherCABBS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.soultenders.com Direct

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
I20240318003774 CA Practitioner - Marriage and Family Therapist 4688011265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soultenders Inc 113 clinicians

Practice addresses (Care Compare)

245 E Olive Ave
Suite 400
Burbank, CA 91502-1214
Phone (818) 823-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121873CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soultenders Psychological Services, Inc. CurrentSince Jul 1, 2026 Accepting new patients
Soultenders, Inc. CurrentSince Feb 4, 2024 Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249

245 E Olive Ave
Ste 400
Burbank, CA 91502
Phone (818) 823-6677

Organizations & group practices 2

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": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1679174684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E FOOTHILL BLVD STE 102",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062361",
            "telephone_number": "626-701-4249",
            "fax_number": "626-737-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E OLIVE AVE STE 400",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021214",
            "telephone_number": "818-823-6677",
            "fax_number": "626-737-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "MEREDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "121873",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.soultenders.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "245 E Olive Ave Ste 400",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915021214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.