Active NPI
Tara Peterson, LMFT
- Marriage & Family Therapist
- Monterey, CA
National Provider Identifier
1053770867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 87204
- Practice address
- 700 Pacific St
Monterey, CA 93940-2815 - Phone
- (831) 645-1261
- NPI assigned
- Feb 22, 2016
- Last updated
- Jan 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 87204 | CA | Primary |
Addresses
Primary practice location
700 Pacific St
Monterey, CA 93940-2815
Mailing address
700 Pacific St
Monterey, CA 93940-2864
Phone (831) 645-1261
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
| License | State | Type | Specialty |
|---|---|---|---|
| 87204 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1053770867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 PACIFIC ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939402864",
"telephone_number": "831-645-1261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 PACIFIC ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939402815",
"telephone_number": "831-645-1261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "TARA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-22",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "87204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
- Peter a Ruiz DC Inc
- Charmaine Elisabeth Joanna Peters, MD, MS
- Haley Breanne Peters, LCSW
- J Michelle Peterson, LCSW
- John Louis Peterson, MD
- Alexandra Nicole Petrarca, DPT
- Kenneth Samuel Peyton, DPT, CSCS
- Hoang-Tuan K Pham, DO
- Joanna Ha Pham
- Pharmaca Integrative Pharmacy, Inc. (Pharmaca Integrative Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.