ROSE VERSACE MFT NPI 1003943093

NPI Information

  • NPI: 1003943093
  • Provider Name: ROSE VERSACE, MFT
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 850 E FOOTHILL BLVD
    RIALTO, CA
    ZIP 92376
  • Phone: (909) 421-9475

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NPI Details

Rose Versace, MFT is a marriage family therapist in Rialto, CA with 38 years of experience. The provider is 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. Rose Versace, MFT NPI is 1003943093. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

850 E FOOTHILL BLVD
RIALTO, CA
ZIP 92376-230
Phone: (909) 421-9475
Fax: (909) 421-9392

The NPI 1003943093 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 6/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family Therapist28223CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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