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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARISSA ARIEL LATAILLADE LMFT
NPI 1144862384
Marriage & Family Therapist in Canyon Country, CA

Active since October 09, 2019PECOS Enrolled
20201 FAIRWEATHER ST, CANYON COUNTRY, CA 91351(661) 655-2779 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2026, Feb 10, 2024, Apr 21, 2022 and 2 more (5 updates tracked since 2019).

About Carissa Ariel Lataillade Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARISSA ARIEL LATAILLADE LMFT (NPI 1144862384) is an individual marriage & family therapist in Canyon Country, California, licensed in California (144727) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144862384
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCARISSA ARIEL LATAILLADECredential: LMFT
Location Address20201 FAIRWEATHER STCanyon Country, CA 91351-1050
Mailing Address16416 Village Way # 135Santa Clarita, CA 91387-2109 · (661) 655-2779
Phone(661) 655-2779
Sole ProprietorNo
Enumeration DateOctober 9, 2019
Last NPPES UpdateSeptember 3, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1144862384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 144727
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
20201 FAIRWEATHER ST, Canyon Country, CA 91351
Open in Google Maps ↗

Secondary Practice Locations 2

Location 123550 Lyons Ave Ste 211Newhall, CA 91321-5745 · Phone (661) 655-2779
Location 224359 Walnut St Ste BSanta Clarita, CA 91321-6101 · Phone (661) 655-2779

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carissa Ariel Lataillade Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carissa Lataillade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
277 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PALADIN PSYCHOTHERAPY & FAMILY COUNSELING, INC
Marriage & Family Therapist
20201 FAIRWEATHER ST
CANYON COUNTRY, CA 91351
Los Angeles County (661) 655-2779

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carissa Lataillade's NPI number?

The NPI number for Carissa Lataillade is 1144862384. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Where is Carissa Lataillade located?

Carissa Lataillade practices at 20201 Fairweather St, Canyon Country, CA 91351. The listed phone number is (661) 655-2779.

What is Carissa Lataillade's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Carissa Lataillade enrolled in Medicare?

Yes. Carissa Lataillade is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carissa Lataillade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Lataillade reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carissa Lataillade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carissa Lataillade was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.