Individual provider Active NPI

Lauren Rosen, LMFT

  • Marriage & Family Therapist
  • Dana Point, CA
National Provider Identifier
1992522742
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
TPMF29 Issued in FL
Practice address
33635 Bayport Way
Dana Point, CA 92629-2134
Phone
(949) 991-2600
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 110644 CA
Marriage & Family Therapist 106H00000X 12388215-3902 UT
Marriage & Family Therapist 106H00000X 4332-R NV
Marriage & Family Therapist 106H00000X T2249 OR
Marriage & Family Therapist 106H00000X MF001632 PA
Marriage & Family Therapist 106H00000X TPMF29 FL Primary

Addresses

Primary practice location

33635 Bayport Way
Dana Point, CA 92629-2134

Mailing address

34145 Pacific Coast Hwy # 210
Dana Point, CA 92629-2731
Phone (949) 991-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 24, 2024 through Jan 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TPMF29FLMDMarriage & Family Therapist
4332-RNVMDMarriage & Family Therapist
T2249ORMDMarriage & Family Therapist
MF001632PAMDMarriage & Family Therapist
12388215-3902UTMDMarriage & Family Therapist
110644CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1992522742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34145 PACIFIC COAST HWY # 210",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292731",
            "telephone_number": "949-991-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33635 BAYPORT WAY",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292134",
            "telephone_number": "949-991-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "LAUREN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110644",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "12388215-3902",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4332-R",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2249",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001632",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "TPMF29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

Verify at the official NPI Registry.