Sacred Space Marriage Therapy, Prof. Corp

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

SACRED SPACE MARRIAGE THERAPY, PROF. CORP

Practice address

31577 Canyon Estates Dr Ste 225
Lake Elsinore, CA 92532-0473

Phone

(951) 219-3255

NPI assigned

Feb 13, 2026

Organization subpart

No

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

Authorized official

Name

Shannon Rodriguez, LMFTNPI 1750832226

Title

Therapist

Phone

(951) 219-3255

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Rodriguez

  • Marriage & Family Therapist
  • Canyon Lake, CA
  • NPI 1750832226
  NPD Authorized official

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1689526311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31577 CANYON ESTATES DR STE 225",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31577 CANYON ESTATES DR STE 225",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320473",
            "telephone_number": "951-219-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SPACE MARRIAGE THERAPY, PROF. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "951-219-3255",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Lake Elsinore, CA
• Providers in Lake Elsinore, 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 Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.