Trent Jason Tilby, M.S., MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC37336 Issued in CA

Practice address

125 N Broadway Ste 2H
Turlock, CA 95380-4826

Phone

(209) 605-9280

Fax

(209) 664-9867

NPI assigned

Dec 23, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1366771230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N BROADWAY STE 2H",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804826",
            "telephone_number": "209-605-9280",
            "fax_number": "209-664-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N BROADWAY STE 2H",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804826",
            "telephone_number": "209-605-9280",
            "fax_number": "209-664-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILBY",
        "first_name": "TRENT",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "M.S., MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Turlock, CA
• Providers in Turlock, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.