Individual provider Active NPI

Tanya E Menezes, MA, MPHIL, LMFT

  • Marriage & Family Therapist
  • Weaverville, CA
National Provider Identifier
1275978496
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT121119 Issued in CA
Practice address
31660 Ca-3
Weaverville, CA 96093
Phone
(530) 623-0021
NPI assigned
May 1, 2013
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X LMFT121119 CA
Mental Health Counselor 101YM0800X LMFT121119 CA
Mental Health Counselor 101YM0800X IMF66890 CA
Marriage & Family Therapist 106H00000X LMFT121119 CA Primary

Addresses

Primary practice location

31660 Ca-3
Weaverville, CA 96093

Mailing address

PO Box 324
Weaverville, CA 96093-0324
Phone (530) 623-0830

Other practice location 1

1450 Main St.
Weaverville, CA 96093-1640
Phone (530) 623-1362

Other practice location 2

240 Ransom Road
Weaverville, CA 96093-0324
Phone (530) 623-0830

Other identifiers 1

IdentifierTypeStateIssuer
LMFT121119OtherCABBS LICENSE NUMBER

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF66890CAMDMental Health Counselor
LMFT121119CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1275978496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "960930324",
            "telephone_number": "530-623-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31660 CA-3",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "96093",
            "telephone_number": "530-623-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Main St.",
            "address_purpose": "LOCATION",
            "city": "Weaverville",
            "state": "CA",
            "postal_code": "960931640",
            "country_code": "US",
            "telephone_number": "530-623-1362",
            "fax_number": "530-623-5830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Ransom Road",
            "address_purpose": "LOCATION",
            "city": "Weaverville",
            "state": "CA",
            "postal_code": "960930324",
            "country_code": "US",
            "telephone_number": "530-623-0830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENEZES",
        "first_name": "TANYA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MA, MPHIL, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LMFT121119",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT121119",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF66890",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT121119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS LICENSE NUMBER",
            "identifier": "LMFT121119",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.