Individual provider Active NPI

Tabitha Elizabeth Baldwin, M.S. LMFT, LPCC

  • Marriage & Family Therapist
  • San Mateo, CA
National Provider Identifier
1174723597
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46032 Issued in CA
Practice address
400 Concar Dr
San Mateo, CA 94402-2681
Phone
(650) 769-5810
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1250 CA
Marriage & Family Therapist 106H00000X 9031 ID
Marriage & Family Therapist 106H00000X 46032 CA Primary

Addresses

Primary practice location

400 Concar Dr
San Mateo, CA 94402-2681

Mailing address

178 Silverberry St
Hamilton, MT 59840-3631
Phone (559) 360-9703

Other practice location 1

175 Forest Ave
Palo Alto, CA 94301-1615
Phone (888) 224-7332

Other practice location 2

2710 Gateway Oaks Dr Ste 150N
Sacramento, CA 95833-3502
Phone (888) 224-7332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID, MT, AZ, NJ5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20250508003433 CA Practitioner - Marriage and Family Therapist 5395985733 Reassigns benefits to 1 organization
I20250508003466 ID Practitioner - Marriage and Family Therapist 5395985733 Reassigns benefits to 1 organization
I20250508003496 MT Practitioner - Mental Health Counselor 5395985733 Reassigns benefits to 1 organization
I20250509000533 AZ Practitioner - Mental Health Counselor 5395985733 Reassigns benefits to 1 organization
I20250509002793 NJ Practitioner - Marriage and Family Therapist 5395985733 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1250CAMDMental Health Counselor
46032CAMDMarriage & Family Therapist
9031IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 2, 2025 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince Mar 28, 2025 Accepting new patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Apr 12, 2025 Accepting new patients
Therapath Family Counseling, P.C. Current Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1174723597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 SILVERBERRY ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598403631",
            "telephone_number": "559-360-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONCAR DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022681",
            "telephone_number": "650-769-5810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943011615",
            "country_code": "US",
            "telephone_number": "888-224-7332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 Gateway Oaks Dr Ste 150N",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958333502",
            "country_code": "US",
            "telephone_number": "888-224-7332",
            "fax_number": "650-332-2741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "TABITHA",
        "middle_name": "ELIZABETH",
        "credential": "M.S. LMFT, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "1250",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "9031",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.