Kristen K Tachiki, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

99264 Issued in CA

Practice address

15014 Denley St
Hacienda Heights, CA 91745-2010

Phone

(626) 384-9756

NPI assigned

Mar 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1194472654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15014 DENLEY ST",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917452010",
            "telephone_number": "626-384-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15014 DENLEY ST",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917452010",
            "telephone_number": "626-384-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACHIKI",
        "first_name": "KRISTEN",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "99264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "LCSW99264",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Betterhelp.com",
            "affiliation": "N",
            "endpointDescription": "on-line counseling platform",
            "address_1": "15014 Denley St",
            "city": "Hacienda Heights",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917452010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenny C Su, M.D.
• Suanhow Howard Foo DDS PC
• Sunrise Starshine Hospice, Inc.
• Ryan Supangan
• Super Care Inc
• Shao-Chien Tai
• Taiho Wellness Center
• Kevin Takami
• Ty Kenji Takitani, D.C.
• Anita Shuk Wai Tam, D.D.S.

• Counselor in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.