Andie Tran, DMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

134973 Issued in CA

Practice address

35 Harrington Ave Unit 1316
Shrewsbury, MA 01545-5277

Phone

(951) 460-0005

NPI assigned

Oct 11, 2021

Last updated

Dec 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wild Roots Psychotherapy & Family Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shrewsbury, MA
  • NPI 1982471553
  NPD Authorized official
• Clay Counseling Foundation

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1942010301
  NPD (past)
• Clay Counseling Solutions, Inc.

  • Marriage & Family Therapist
  • San Bernardino, CA
  • NPI 1134581952
  NPD (past)

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1376205989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 MORNING STAR DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HARRINGTON AVE UNIT 1316",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455277",
            "telephone_number": "951-460-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANDIE",
        "credential": "DMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134973",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.andie@wildrootspsychotherapy.com",
            "affiliation": "N",
            "address_1": "945 Morning Star Dr",
            "city": "Sonora",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953709249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mina Toma
• Joahd M Toure, M.D.
• Town of Shrewsbury
• Towne Medical Supply, Inc.
• Kathleen Bridget Tracy, PT
• Mai Xuan D Tran, PHARMD
• Stephanie Tran, PHARM.D.
• Thao Tran
• Nicole M Trask, PHARM.D.
• Caitlin H Trethewey, PHARMD

• Marriage & Family Therapist in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Marriage & Family Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.