Tamekia Tene Johnson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

112085 Issued in CA

Practice address

3705 Haven Ave Ste 112
Menlo Park, CA 94025-1011

Phone

(916) 642-9522

Fax

(916) 678-4138

NPI assigned

Sep 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• La Tanya Takla, Psychologist Inc

  • Clinical Psychologist
  • Modesto, CA
  • NPI 1336819564
  NPD (past)

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1114648680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 PAVILION PKWY APT 1102",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953049491",
            "telephone_number": "510-365-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 HAVEN AVE STE 112",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251011",
            "telephone_number": "916-642-9522",
            "fax_number": "916-678-4138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 McHenry Ave Ste I",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953505416",
            "country_code": "US",
            "telephone_number": "916-642-9522",
            "fax_number": "916-679-4138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAMEKIA",
        "middle_name": "TENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjohnson@mendingfeelings.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "901 McHenry Ave Ste I",
            "city": "Modesto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953505416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• JM Hurng DDS, MPH, Inc.
• Joan Dillon
• Alexandria K Johnson, PH.D.
• Deante M Johnson
• Emily Madison Johnson
• Arthur Peter Jollymour III, DDS
• Michelle Joy, MFT
• Morganne Elizabeth Lasley Juelich
• Sarah Juhn, PHARMD
• Wendy Justus, M.A., L.C.S.W.

• Marriage & Family Therapist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.