Individual provider Active NPI

Mayra Alejandra Rodriguez, LMFT

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1700372067
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
134884 Issued in CA
Practice address
4444 Calle Real
Santa Barbara, CA 93110-1002
Phone
(805) 681-5190
NPI assigned
Jul 10, 2018
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Marriage & Family Therapist 106H00000X 134884 CA Primary

Addresses

Primary practice location

4444 Calle Real
Santa Barbara, CA 93110-1002

Mailing address

PO Box 21324
Santa Barbara, CA 93121-1324

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
I20240228004124 CA Practitioner - Marriage and Family Therapist 3375988496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Barbara County AuditorGroup PAC ID 9335052083, 98 clinicians

Practice addresses (Care Compare)

4444 Calle Real
Santa Barbara, CA 93110-1002
Phone (805) 681-5190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County County Auditor Current Accepting new patients
Santa Barbara County Auditor CurrentSince Jan 1, 2024 Accepting new patients
Santa Barbara County Department of Behavioral Wellness CurrentSince Jan 1, 2024 Accepting new patients

Locations

315 Camino del Remedio
Ste 258
Santa Barbara, CA 93110
Phone (626) 989-3321

429 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 884-1600

4444 Calle Real
Santa Barbara, CA 93110
Phone (805) 681-5190

2615 S Miller St
Ste 106
Santa Maria, CA 93455
Phone (805) 319-7502

Organizations & group practices 3

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": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1700372067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21324",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931211324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 CALLE REAL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101002",
            "telephone_number": "805-681-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MAYRA",
        "middle_name": "ALEJANDRA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.