Active NPI
Tabitha Elizabeth Baldwin, M.S. LMFT, LPCC
- Marriage & Family Therapist
- San Mateo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 46032
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1250 | CA | MD | Mental Health Counselor |
| 46032 | CA | MD | Marriage & Family Therapist |
| 9031 | ID | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Grow Healthcare Group PC | Mental Health | Current | Accepting new patients |
| Grow Healthcare Group of New Jersey PC | Mental Health | Current | 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.
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
-
- Mental Health Counselor
- Hoboken, NJ
- NPI 1841949328
-
- Adolescent and Children Mental Health Clinic/Center
- Hamilton, MT
- NPI 1396540548
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.