Catherine Ann Tietjen, L.M.F.T., R.N.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

44340 Issued in CA

Practice address

370 9TH St
Crescent City, CA 95531-3432

Phone

(707) 464-4349

Fax

(707) 464-4572

NPI assigned

Mar 13, 2007

Last updated

Jul 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Remi Vista, Inc.

  • Case Management Agency
  • Crescent City, CA
  • NPI 1578516175
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1174656623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 9TH ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955313432",
            "telephone_number": "707-464-4349",
            "fax_number": "707-464-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 9TH ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955313432",
            "telephone_number": "707-464-4349",
            "fax_number": "707-464-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIETJEN",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "L.M.F.T., R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44340",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "376558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Marie Terhune, SBD
• The Wellness Center
• Laurie Lee Thomas, PAC
• Kathryn Thompson
• Thrifty Payless Inc (Rite Aid Pharmacy 06040)
• Douglas Tippman, LMFT
• Samantha L. Titus, RN
• John Eric O Tolentino, CRT
• Duy Dai Tran
• Hong Phuong Thi Tran

• Marriage & Family Therapist in Crescent City, CA
• Providers in Crescent City, 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 Jul 10, 2012; 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.