Individual provider Active NPI

Stevie Megan Tecson, AMFT, APCC

  • Student in an Organized Health Care Education/Training Program
  • Hayward, CA
National Provider Identifier
1013506856
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
AMFT122210 Issued in CA
Practice address
21455 Birch St Ste 201
Hayward, CA 94541-2165
Phone
(510) 268-3770
NPI assigned
Jan 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X APCC8724 CA
Student in an Organized Health Care Education/Training Program 390200000X AMFT122210 CA Primary

Addresses

Primary practice location

21455 Birch St Ste 201
Hayward, CA 94541-2165

Mailing address

21455 Birch St Ste 201
Hayward, CA 94541-2165
Phone (510) 268-3770

Other practice location 1

2828 Ford St
Oakland, CA 94601-2114
Phone (510) 268-3770

Other practice location 2

456 Laurel Ave
Hayward, CA 94541-3831
Phone (510) 723-3810

Other practice location 3

2214 Eunice St
Berkeley, CA 94709-1419
Phone (757) 897-5933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AMFT122210CAMDStudent in an Organized Health Care Education/Training Program
APCC8724CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Agency for Children PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 1

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": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1013506856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21455 BIRCH ST STE 201",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412165",
            "telephone_number": "510-268-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21455 BIRCH ST STE 201",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412165",
            "telephone_number": "510-268-3770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 Ford St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946012114",
            "country_code": "US",
            "telephone_number": "510-268-3770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "456 Laurel Ave",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945413831",
            "country_code": "US",
            "telephone_number": "510-723-3810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2214 Eunice St",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947091419",
            "country_code": "US",
            "telephone_number": "757-897-5933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TECSON",
        "first_name": "STEVIE MEGAN",
        "credential": "AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "APCC8724",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "AMFT122210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.