Individual provider Active NPI

Tameka Coleman

  • Marriage & Family Therapist
  • Temecula, CA
National Provider Identifier
1245680727
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
134116 Issued in CA
Practice address
40925 County Center Dr Ste 100&200
Temecula, CA 92591-6054
Phone
(951) 600-6360
NPI assigned
Jun 15, 2016
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 99869 CA
Marriage & Family Therapist 106H00000X 134116 CA Primary

Addresses

Primary practice location

40925 County Center Dr Ste 100&200
Temecula, CA 92591-6054

Mailing address

40925 County Center Dr Ste 100&200
Temecula, CA 92591-6054
Phone (951) 600-6360

Other practice location 1

265 San Jacinto River Rd
Lake Elsinore, CA 92530-4400
Phone (951) 674-9243 ext. 6411

Other practice location 2

265 San Jacinto River Rd
Lake Elsinore, CA 92530-4400
Phone (951) 674-9243 ext. 6411

Other practice location 3

9890 County Farm Rd Ste 2
Riverside, CA 92503
Phone (951) 509-2499

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
I20260112003159 CA Practitioner - Marriage and Family Therapist 8628554367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2022 Vancouver Ave
Monterey Park, CA 91754-5908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134116CAMDMarriage & Family Therapist
99869CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cogdiversified Inc Marriage & Family Therapist CurrentSince Dec 31, 2025 Accepting new patients
County of Riverside PastSince Oct 23, 2022 Accepting new patients
County of Riverside PastSince Jul 1, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1245680727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40925 COUNTY CENTER DR STE 100&200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916054",
            "telephone_number": "951-600-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40925 COUNTY CENTER DR STE 100&200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916054",
            "telephone_number": "951-600-6360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 San Jacinto River Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925304400",
            "country_code": "US",
            "telephone_number": "951-674-9243 x6411",
            "fax_number": "951-674-9635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 San Jacinto River Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925304400",
            "country_code": "US",
            "telephone_number": "951-674-9243 x6411",
            "fax_number": "951-674-9635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9890 County Farm Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "92503",
            "country_code": "US",
            "telephone_number": "951-509-2499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "TAMEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99869",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.