Individual provider Active NPI

Tina Kathleen Spaun, LMFT

  • Marriage & Family Therapist
  • Claremont, CA
National Provider Identifier
1124702956
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT36853 Issued in CA
Practice address
427 Yale Ave Ste 101
Claremont, CA 91711-4340
Phone
(970) 694-8648
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT.0002196 CO
Marriage & Family Therapist 106H00000X LMFT36853 CA Primary

Addresses

Primary practice location

427 Yale Ave Ste 101
Claremont, CA 91711-4340

Mailing address

427 Yale Ave Ste 101
Claremont, CA 91711-4340
Phone (970) 694-8648

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
LMFT36853CAMDMarriage & Family Therapist
MFT.0002196COMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1124702956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 YALE AVE STE 101",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114340",
            "telephone_number": "970-694-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 YALE AVE STE 101",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114340",
            "telephone_number": "970-694-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAUN",
        "first_name": "TINA",
        "middle_name": "KATHLEEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0002196",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT36853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.