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TATRA-LI DE LA ROSA
NPI 1366810194
Marriage & Family Therapist in Santa Rosa, CA

Active since September 10, 2015Opted out of Medicare · through Jan 1, 2028
576 B ST STE 2C, SANTA ROSA, CA 95401(707) 536-5069 Get Directions Write a Review

NPPES record last updated: November 9, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 9, 2024, Nov 15, 2023 (2 updates tracked since 2023).

About Tatra-li De La Rosa NPPES

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

TATRA-LI DE LA ROSA (NPI 1366810194) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (83945) and active in the NPI registry since September 2015. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1366810194
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTATRA-LI DE LA ROSA
Location Address576 B ST STE 2CSanta Rosa, CA 95401-5269
Mailing Address576 B St Ste 2cSanta Rosa, CA 95401-5269 · (707) 536-5069
Phone(707) 536-5069
Sole ProprietorYes
Enumeration DateSeptember 10, 2015
Last NPPES UpdateNovember 9, 20242 updates tracked since enumeration
NPPES CertifiedNovember 9, 2024
✔ NPI 1366810194 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 · 83945
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.
576 B ST STE 2C, Santa Rosa, CA 95401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tatra-li De La Rosa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DE LA ROSA PSYCHOTHERAPISTS, A MFT CORPORATION
Marriage & Family Therapist
576 B ST STE 2C
SANTA ROSA, CA 95401
Sonoma County (707) 536-5069

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 Tatra-li De La Rosa's NPI number?

The NPI number for Tatra-li De La Rosa is 1366810194. It was assigned to this individual provider in the NPPES registry on September 10, 2015.

Where is Tatra-li De La Rosa located?

Tatra-li De La Rosa practices at 576 B St Ste 2C, Santa Rosa, CA 95401. The listed phone number is (707) 536-5069.

What is Tatra-li De La Rosa's specialty?

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

Is Tatra-li De La Rosa enrolled in Medicare?

No. Tatra-li De La Rosa has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tatra-li De La Rosa was last updated on November 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.