Active NPI
Tina Yah Tseng
- Professional Counselor
- San Jose, CA
National Provider Identifier
1104388875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APCC17189
- Practice address
- 1340 Tully Rd Ste 304
San Jose, CA 95122-3055 - Phone
- (408) 271-3900
- NPI assigned
- Apr 2, 2019
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | APCC17189 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | APCC17189 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CI37161222 | CA | |
| Clinical Social Worker | 1041C0700X | APCC17189 | CA | |
| Professional Counselor | 101YP2500X | APCC17189 | CA | Primary |
Addresses
Primary practice location
1340 Tully Rd Ste 304
San Jose, CA 95122-3055
Mailing address
1340 Tully Rd Ste 304
San Jose, CA 95122-3055
Phone (408) 271-3900
Other practice location 1
1922 The Alameda Ste 425
San Jose, CA 95126-1453
Phone (510) 679-3545
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 |
|---|---|---|---|
| CI37161222 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| APCC17189 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthright 360 | Past | Accepting new patients | |
| Kids Overcoming, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- South San Francisco, CA
- NPI 1265563688
-
- Behavior Analyst
- San Jose, CA
- NPI 1730426420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1104388875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 TULLY RD STE 304",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951223055",
"telephone_number": "408-271-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 TULLY RD STE 304",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951223055",
"telephone_number": "408-271-3900"
}
],
"practiceLocations": [
{
"address_1": "1922 The Alameda Ste 425",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951261453",
"country_code": "US",
"telephone_number": "510-679-3545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSENG",
"first_name": "TINA",
"middle_name": "YAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "APCC17189",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "APCC17189",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CI37161222",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "APCC17189",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC17189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.