Active NPI
Tomeka Dunnigan, AMFT
- Mental Health Counselor
- Venice, CA
National Provider Identifier
1194222166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AMFT104624
- Practice address
- 204 Hampton Dr
Venice, CA 90291-8633 - Phone
- (310) 396-6468
- NPI assigned
- Apr 6, 2018
- Last updated
- Jun 12, 2024
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 104624 | CA | |
| Marriage & Family Therapist | 106H00000X | |||
| Mental Health Counselor | 101YM0800X | AMFT104624 | CA | Primary |
Addresses
Primary practice location
204 Hampton Dr
Venice, CA 90291-8633
Mailing address
204 Hampton Dr
Venice, CA 90291-8633
Phone (310) 396-6468
Other practice location 1
600 N Alameda St
Compton, CA 90221-2605
Phone (323) 242-5000
Other practice location 2
1411 W 190th St
Gardena, CA 90248-4324
Phone (310) 719-3908
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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT104624 | CA | MD | Mental Health Counselor |
| 104624 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1194222166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 HAMPTON DR",
"city": "VENICE",
"state": "CA",
"postal_code": "902918633",
"telephone_number": "310-396-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 HAMPTON DR",
"city": "VENICE",
"state": "CA",
"postal_code": "902918633",
"telephone_number": "310-396-6468"
}
],
"practiceLocations": [
{
"address_1": "600 N Alameda St",
"address_purpose": "LOCATION",
"city": "Compton",
"state": "CA",
"postal_code": "902212605",
"country_code": "US",
"telephone_number": "323-242-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1411 W 190th St",
"address_purpose": "LOCATION",
"city": "Gardena",
"state": "CA",
"postal_code": "902484324",
"country_code": "US",
"telephone_number": "310-719-3908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNNIGAN",
"first_name": "TOMEKA",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-06",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "104624",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT104624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venice, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.