Individual provider Active NPI

Tristanne Danae Gallardo-Stewart, LMFT

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1245863703
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
139570 Issued in CA
Practice address
169 Hartnell Ave Ste 208
Redding, CA 96002-1860
Phone
(530) 440-6212
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 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 139570 CA Primary

Addresses

Primary practice location

169 Hartnell Ave Ste 208
Redding, CA 96002-1860

Mailing address

169 Hartnell Ave Ste 208
Redding, CA 96002-1860
Phone (530) 440-6212

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
I20240117003879 CA Practitioner - Marriage and Family Therapist 4789036526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1320 Yuba St
Suite 203
Redding, CA 96001-1057
Phone (530) 276-8580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Mar 16, 2024 Accepting new patients
Restoring Eden Family Counseling Services Professional Corporation Marriage & Family Therapist CurrentSince Apr 1, 2025 Accepting new patients

Locations

1320 Yuba St
Ste 203
Redding, CA 96001
Phone (530) 276-8580

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1245863703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 HARTNELL AVE STE 208",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021860",
            "telephone_number": "530-440-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 HARTNELL AVE STE 208",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021860",
            "telephone_number": "530-440-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO-STEWART",
        "first_name": "TRISTANNE",
        "middle_name": "DANAE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.