Active NPI
Safe Space Marriage & Family Counseling Corp
- Group Psychotherapy Psychologist
- Santa Clarita, CA
National Provider Identifier
1881333441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- Legal business name
- SAFE SPACE MARRIAGE & FAMILY COUNSELING CORP
- Practice address
- 28100 Bouquet Canyon Rd Ste 201
Santa Clarita, CA 91350-2006 - Phone
- (661) 212-2997
- Fax
- (833) 766-3523
- NPI assigned
- Jun 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Heather Rousselo, LMFT
- Title
- President
- Phone
- (661) 212-2997
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | Primary |
Addresses
Primary practice location
28100 Bouquet Canyon Rd Ste 201
Santa Clarita, CA 91350-2006
Mailing address
19684 Newhouse St
Canyon Country, CA 91351-2048
Phone (661) 212-2997
National Provider Directory
National Provider DirectoryLocations
28100 Bouquet Canyon Rd
Ste 201
Santa Clarita, CA 91350
Phone (661) 212-2997
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Valencia, CA
- NPI 1114041522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654041600000",
"number": "1881333441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19684 NEWHOUSE ST",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913512048",
"telephone_number": "661-212-2997",
"fax_number": "833-766-3523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28100 BOUQUET CANYON RD STE 201",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913502006",
"telephone_number": "661-212-2997",
"fax_number": "833-766-3523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE SPACE MARRIAGE & FAMILY COUNSELING CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A",
"authorized_official_last_name": "ROUSSELO",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "661-212-2997",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 1, 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.