Active NPI
Myeasa Allen, LMFT
- Marriage & Family Therapist
- Vallejo, CA
National Provider Identifier
1073924007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 151008
- Practice address
- 508 Alabama St
Vallejo, CA 94590-4446 - Phone
- (707) 515-7186
- NPI assigned
- May 13, 2014
- Last updated
- Sep 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 151008 | CA | MD | Marriage & 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.