Individual provider Active NPI

Teri Watts, LMFT

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1013347863
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
110170 Issued in CA
Practice address
355 Hemsted Dr Ste 101
Redding, CA 96002-0955
Phone
(530) 215-3632
Fax
(530) 215-1173
NPI assigned
Nov 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 10119 ID
Marriage & Family Therapist 106H00000X 110170 CA Primary

Addresses

Primary practice location

355 Hemsted Dr Ste 101
Redding, CA 96002-0955

Mailing address

355 Hemsted Dr Ste 101
Redding, CA 96002-0955
Phone (530) 215-3632

Other practice location 1

1883 N Wildwood St Ste N
Boise, ID 83713-5146
Phone (208) 754-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 6, 2024 through Feb 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110170CAMDMarriage & Family Therapist
10119IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Sound Mind Marriage & Family Therapist CurrentSince Nov 17, 2024 Accepting new patients
Creekside Counseling Center Inc Marriage & Family Therapist PastSince Sep 14, 2020 Accepting new patients

Locations

355 Hemsted Dr
Ste 101
Redding, CA 96002
Phone (530) 215-3632

1883 N Wildwood St
Ste N
Boise, ID 83713
Phone (208) 754-7070

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1013347863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 HEMSTED DR STE 101",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020955",
            "telephone_number": "530-215-3632",
            "fax_number": "530-215-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 HEMSTED DR STE 101",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020955",
            "telephone_number": "530-215-3632",
            "fax_number": "530-215-1173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1883 N Wildwood St Ste N",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837135146",
            "country_code": "US",
            "telephone_number": "208-754-7070",
            "fax_number": "530-215-1173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "TERI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "10119",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.