Individual provider Active NPI

Trisha Ann Mendez, MA

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1245333541
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
43520 Issued in CA
Practice address
2129 Hacienda Way Ste E
Sacramento, CA 95825-0362
Phone
(916) 769-9266
Fax
(877) 667-3518
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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 43520 CA Primary

Addresses

Primary practice location

2129 Hacienda Way Ste E
Sacramento, CA 95825-0362

Mailing address

2129 Hacienda Way Ste E
Sacramento, CA 95825-0362
Phone (916) 769-9266

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250123002984 CA Practitioner - Marriage and Family Therapist 8426584012 Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2129 Hacienda Way
Suite E
Sacramento, CA 95825-0362
Phone (916) 769-9266

2129 Hacienda Way E
Sacramento, CA 95825-0362

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43520CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Bean Family and Marriage Therapy, Professional Organization Marriage & Family Therapist CurrentSince Sep 16, 2024 Accepting new patients
Newaygo County Mental Health Board PastSince Dec 1, 2013 Accepting new patients

Locations

2129 Hacienda Way
Ste E
Sacramento, CA 95825
Phone (916) 234-3581

Organizations & group practices 2

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1245333541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 HACIENDA WAY STE E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250362",
            "telephone_number": "916-769-9266",
            "fax_number": "877-667-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 HACIENDA WAY STE E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250362",
            "telephone_number": "916-769-9266",
            "fax_number": "877-667-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "TRISHA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.