Active NPI
Meredith Rossi
- Marriage & Family Therapist
- Burbank, CA
National Provider Identifier
1679174684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 121873
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121873 | Other | CA | BBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 121873 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soultenders Psychological Services, Inc. | Current | Accepting new patients | |
| Soultenders, Inc. | Current | 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.
-
- Clinical Social Worker
- Arcadia, CA
- NPI 1235810722
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.