Laurence Rose, M.A. MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

83317 Issued in CA

Practice address

6652 Smoke Tree Ave
Oak Park, CA 91377-1303

Phone

(818) 851-1091

NPI assigned

Dec 8, 2011

Last updated

Apr 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Valley Psych

  • Marriage & Family Therapist
  • Oak Park, CA
  • NPI 1336907518
  NPD Authorized official
• Valley Psych

  • Marriage & Family Therapist
  • Oak Park, CA
  • NPI 1518725795
  NPD Authorized official

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1861760563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6662 SMOKE TREE AVE",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "91377",
            "telephone_number": "818-851-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6652 SMOKE TREE AVE",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913771303",
            "telephone_number": "818-851-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "LAURENCE",
        "name_prefix": "Mrs.",
        "credential": "M.A. MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83317",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priority Family Health a Medical Corporation
• Andy R Purdy, P.T.
• Janet Resnick, M.A.
• Daphne Reyes, SLP
• Eyal Ron, M.D.
• Irene Shabzi Rowland, LAC
• Amber Christine Ruddock, PHD
• Ryemon Rehab Physical Therapy, Inc.
• Stephanie T Sands
• Adina Nicole Schuster

• Marriage & Family Therapist in Oak Park, CA
• Providers in Oak Park, 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 Apr 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.