Individual provider Active NPI

Tina Lee Masoudi, AMFT

  • Marriage & Family Therapist
  • Walnut Creek, CA
National Provider Identifier
1033092861
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT155851 Issued in CA
Practice address
1460 Maria LN Ste 300
Walnut Creek, CA 94596-5314
Phone
(925) 414-0192
NPI assigned
Jul 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APCC19568 CA
Marriage & Family Therapist 106H00000X AMFT155851 CA Primary

Addresses

Primary practice location

1460 Maria LN Ste 300
Walnut Creek, CA 94596-5314

Mailing address

6747 Sunnyslope Ave
Castro Valley, CA 94552-9760
Phone (510) 919-8045

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
APCC19568CAMDProfessional Counselor
AMFT155851CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1033092861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6747 SUNNYSLOPE AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945529760",
            "telephone_number": "510-919-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 MARIA LN STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965314",
            "telephone_number": "925-414-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOUDI",
        "first_name": "TINA",
        "middle_name": "LEE",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC19568",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT155851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.