Active NPI
Mindy Luvisi Romero, MA
- Marriage & Family Therapist
- Santa Clarita, CA
National Provider Identifier
1770012569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 112644
- Practice address
- 21545 Centre Pointe Pkwy
Santa Clarita, CA 91350-2947 - Phone
- (661) 259-9439
- NPI assigned
- Jun 6, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | |||
| Marriage & Family Therapist | 106H00000X | 94217 | CA | |
| Marriage & Family Therapist | 106H00000X | 112644 | CA | Primary |
Addresses
Primary practice location
21545 Centre Pointe Pkwy
Santa Clarita, CA 91350-2947
Mailing address
21545 Centre Pointe Pkwy
Santa Clarita, CA 91350-2947
Phone (661) 259-9439
Other practice location 1
15305 Rayen St
North Hills, CA 91343-5117
Phone (818) 892-3423
Other practice location 2
12522 Moorpark St
Studio City, CA 91604-1355
Phone (818) 661-6306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-2633765 | Other | CA | MEDI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112644 | CA | MD | Marriage & Family Therapist |
| 94217 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1770012569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21545 CENTRE POINTE PKWY",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913502947",
"telephone_number": "661-259-9439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21545 CENTRE POINTE PKWY",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913502947",
"telephone_number": "661-259-9439"
}
],
"practiceLocations": [
{
"address_1": "15305 Rayen St",
"address_purpose": "LOCATION",
"city": "North Hills",
"state": "CA",
"postal_code": "913435117",
"country_code": "US",
"telephone_number": "818-892-3423",
"fax_number": "818-893-4509",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12522 Moorpark St",
"address_purpose": "LOCATION",
"city": "Studio City",
"state": "CA",
"postal_code": "916041355",
"country_code": "US",
"telephone_number": "818-661-6306",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMERO",
"first_name": "MINDY",
"middle_name": "LUVISI",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2022-07-21",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "94217",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "112644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "95-2633765",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.