Individual provider Active NPI

Tessa Emily Reynosa, MFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1124638713
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
119795 Issued in CA
Practice address
832 Folsom St Ste 702
San Francisco, CA 94107-4502
Phone
(415) 715-1050
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 119795 CA Primary

Addresses

Primary practice location

832 Folsom St Ste 702
San Francisco, CA 94107-4502

Mailing address

832 Folsom St Ste 702
San Francisco, CA 94107-4502
Phone (415) 715-1050

Other practice location 1

2428 California St
San Francisco, CA 94115-2620
Phone (415) 355-4056

Other practice location 2

3845 Spring Dr
Spring Valley, CA 91977-1030
Phone (619) 515-3260

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
119795CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Way, Inc. CurrentSince Jul 10, 2022 Accepting new patients
A Better Way, Inc. CurrentSince Jul 24, 2022 Accepting new patients

Locations

832 Folsom St
Ste 702
San Francisco, CA 94107
Phone (415) 271-3278

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.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1124638713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 FOLSOM ST STE 702",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941074502",
            "telephone_number": "415-715-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 FOLSOM ST STE 702",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941074502",
            "telephone_number": "415-715-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2428 California St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941152620",
            "country_code": "US",
            "telephone_number": "415-355-4056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3845 Spring Dr",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "CA",
            "postal_code": "919771030",
            "country_code": "US",
            "telephone_number": "619-515-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOSA",
        "first_name": "TESSA",
        "middle_name": "EMILY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.