Individual provider Active NPI

Matthew William Tentler, LMFT

  • Marriage & Family Therapist
  • Camarillo, CA
National Provider Identifier
1205390911
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
135904 Issued in CA
Practice address
1200 Paseo Camarillo Ste 155
Camarillo, CA 93010-6050
Phone
(805) 708-2119
NPI assigned
Jan 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 135904 CA Primary

Addresses

Primary practice location

1200 Paseo Camarillo Ste 155
Camarillo, CA 93010-6050

Mailing address

1310 Camino Trillado
Carpinteria, CA 93013-1539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1310 Camino Trillado
Carpinteria, CA 93013-1539

407 Pine St Apt
Suite 407
Sausalito, CA 94965-2126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135904CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catalina Family Therapy Inc CurrentSince May 1, 2023 Accepting new patients

Locations

1200 Paseo Camarillo
Ste 155
Camarillo, CA 93010
Phone (805) 708-2119

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1205390911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CAMINO TRILLADO",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930131539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PASEO CAMARILLO STE 155",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106050",
            "telephone_number": "805-708-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENTLER",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-27",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.