Individual provider Active NPI

Monica Avon Gadda Hendrix, LMFT

  • Marriage & Family Therapist
  • Rescue, CA
National Provider Identifier
1114049913
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45976 Issued in CA
Practice address
1080 Old Neumann Rd
Rescue, CA 95672-9667
Phone
(510) 506-2115
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 45976 CA Primary

Addresses

Primary practice location

1080 Old Neumann Rd
Rescue, CA 95672-9667

Mailing address

1080 Old Neumann Rd
Rescue, CA 95672-9667
Phone (510) 506-2115

Other practice location 1

2191 Kirker Pass Rd
Concord, CA 94521-1629
Phone (925) 671-0777

Other names 1

  • Monica Gadda Former name

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
45976CAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
We Care Services for Children Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1114049913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 OLD NEUMANN RD",
            "city": "RESCUE",
            "state": "CA",
            "postal_code": "956729667",
            "telephone_number": "510-506-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 OLD NEUMANN RD",
            "city": "RESCUE",
            "state": "CA",
            "postal_code": "956729667",
            "telephone_number": "510-506-2115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2191 Kirker Pass Rd",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945211629",
            "country_code": "US",
            "telephone_number": "925-671-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "MONICA",
        "middle_name": "AVON GADDA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "GADDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rescue, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.