Individual provider Active NPI

Myeasa Allen, LMFT

  • Marriage & Family Therapist
  • Vallejo, CA
National Provider Identifier
1073924007
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
151008 Issued in CA
Practice address
508 Alabama St
Vallejo, CA 94590-4446
Phone
(707) 515-7186
NPI assigned
May 13, 2014
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 151008 CA Primary
Community Health Worker 172V00000X
Behavior Technician 106S00000X

Addresses

Primary practice location

508 Alabama St
Vallejo, CA 94590-4446

Mailing address

196 Glenwood
Hercules, CA 94547-3566
Phone (405) 326-5121

Other practice location 1

196 Glenwood
Hercules, CA 94547-3566
Phone (510) 359-7143

Other practice location 2

801 Jefferson St Ste 45&6
Fairfield, CA 94533
Phone (707) 720-3869

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
151008CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1073924007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 GLENWOOD",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945473566",
            "telephone_number": "405-326-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 ALABAMA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904446",
            "telephone_number": "707-515-7186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Glenwood",
            "address_purpose": "LOCATION",
            "city": "Hercules",
            "state": "CA",
            "postal_code": "945473566",
            "country_code": "US",
            "telephone_number": "510-359-7143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Jefferson St Ste 45&6",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "94533",
            "country_code": "US",
            "telephone_number": "707-720-3869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MYEASA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "151008",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.