Individual provider Active NPI

Tammy Chen

  • Marriage & Family Therapist
  • Corona, CA
National Provider Identifier
1356827232
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
154342 Issued in CA
Practice address
495 E Rincon St Ste 204
Corona, CA 92879-1379
Phone
(951) 405-8250
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 115251 CA
Marriage & Family Therapist 106H00000X 154342 CA Primary

Addresses

Primary practice location

495 E Rincon St Ste 204
Corona, CA 92879-1379

Mailing address

495 E Rincon St Ste 204
Corona, CA 92879-1379
Phone (951) 405-8250

Other practice location 1

13800 Heacock St Ste C220
Moreno Valley, CA 92553-3363
Phone (951) 653-1800

Other practice location 2

1038 Post St
San Francisco, CA 94109-5603
Phone (415) 775-2636

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

State licenses

LicenseStateTypeSpecialty
115251CAMDMental Health Counselor
154342CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Special Service for Groups, Inc. CurrentSince May 4, 2025 Accepting new patients
Special Service for Groups, Inc. CurrentSince May 1, 2021 Accepting new patients

Locations

495 E Rincon St
Ste 204
Corona, CA 92879
Phone (951) 405-8250

13800 Heacock St
Ste C220
Moreno Valley, CA 92553
Phone (951) 243-4192

13800 Heacock St
Ste D111
Moreno Valley, CA 92553
Phone (951) 243-4192

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1356827232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 E RINCON ST STE 204",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791379",
            "telephone_number": "951-405-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 E RINCON ST STE 204",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791379",
            "telephone_number": "951-405-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13800 Heacock St Ste C220",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925533363",
            "country_code": "US",
            "telephone_number": "951-653-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1038 Post St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941095603",
            "country_code": "US",
            "telephone_number": "415-775-2636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "TAMMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "115251",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "154342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.