La Tanya Alicia Takla, EDD, LMFT, LPCC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32391 Issued in CA

Practice address

1343 Magnolia Ave
Modesto, CA 95350-5249

Phone

(916) 642-9522

Fax

(916) 234-5056

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. La Tanya Alicia Trailer Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• La Tanya Takla, Psychologist Inc

  • Clinical Psychologist
  • Modesto, CA
  • NPI 1336819564
  NPD Authorized official
• Pathways to Mending Feelings Psychotherapy Training Program Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Modesto, CA
  • NPI 1881386092

  Clinical

  NPD Authorized official
• La Tanya Takla

  • Marriage & Family Therapist
  • Fairfield, CA
  • NPI 1265799951
  NPD (past) Authorized official
• Spark Center for Psychology, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sacramento, CA
  • NPI 1770114662

  Clinical

  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1366635526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 MAGNOLIA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505249",
            "telephone_number": "916-642-9522",
            "fax_number": "916-234-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 MAGNOLIA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505249",
            "telephone_number": "916-642-9522",
            "fax_number": "916-234-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKLA",
        "first_name": "LA TANYA",
        "middle_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "EDD, LMFT, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA460541",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LA TANYA",
            "last_name": "TRAILER",
            "middle_name": "ALICIA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Tajii
• Joan Tajon
• Takeflighttransportation
• Glenn A. Takenaga, DDS, BS
• Amanda Takke, PA-C
• Virginia Tifuh Taku, NP
• Evangelina A Talaro
• Benjamin Martin Talbott
• Rebecca Caroline Taliaferro
• Yahya John Talieh, M.D.

• Clinical Psychologist in Modesto, CA
• Providers in Modesto, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.