Individual provider Active NPI

Marlayna Elizabeth Rattanapote, LPCC

  • Professional Counselor
  • Cardiff, CA
National Provider Identifier
1689816837
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10634 Issued in CA
Practice address
120 Birmingham Dr Ste 240a
Cardiff, CA 92007-1757
Phone
(858) 208-0121
NPI assigned
Apr 2, 2009
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T - 0121911 NM
Professional Counselor 101YP2500X 0147991 NM
Professional Counselor 101YP2500X T-0142131 NM
Professional Counselor 101YP2500X 10634 CA Primary

Addresses

Primary practice location

120 Birmingham Dr Ste 240a
Cardiff, CA 92007-1757

Mailing address

776 Sapphire St
San Diego, CA 92109-1054
Phone (858) 414-3651

Other identifiers 1

IdentifierTypeStateIssuer
36384267MedicaidNM

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
I20250130001572 CA Practitioner - Mental Health Counselor 7911436316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

5201 Great America Pkwy
Suite 320
Santa Clara, CA 95054-1140
Phone (323) 968-6182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T - 0121911NMMDMental Health Counselor
0147991NMMDProfessional Counselor
T-0142131NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca CurrentSince Jan 24, 2025 Accepting new patients

Locations

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (323) 745-8323

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

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1689816837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 SAPPHIRE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091054",
            "telephone_number": "858-414-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BIRMINGHAM DR STE 240A",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920071757",
            "telephone_number": "858-208-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTANAPOTE",
        "first_name": "MARLAYNA",
        "middle_name": "ELIZABETH",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T - 0121911",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0147991",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "T-0142131",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "10634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36384267",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cardiff, CA

Sources for this page

Verify at the official NPI Registry.