Organization Active NPI

Safe Space Marriage & Family Counseling Corp

  • Group Psychotherapy Psychologist
  • Santa Clarita, CA
National Provider Identifier
1881333441
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
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

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Mrs. Heather Rousselo, LMFTNPI 1114041522
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)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.