Active NPI
Nadezhda Tyutyunik
- Marriage & Family Therapist
- Roseville, CA
National Provider Identifier
1396698130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 152353
- Practice address
- 210 Estates Dr # 210
Roseville, CA 95678-2300 - Phone
- (916) 495-5910
- NPI assigned
- Feb 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 152353 | CA | Primary |
Addresses
Primary practice location
210 Estates Dr # 210
Roseville, CA 95678-2300
Mailing address
867 J St
Lincoln, CA 95648-1756
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
| License | State | Type | Specialty |
|---|---|---|---|
| 152353 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Branch Counseling | Marriage & Family Therapist | Current | Accepting new patients |
Locations
210 Estates Dr
#210
Roseville, CA 95678
Phone (916) 495-5910
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Fair Oaks, CA
- NPI 1811842180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1396698130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "867 J ST",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956481756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 ESTATES DR # 210",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956782300",
"telephone_number": "916-495-5910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYUTYUNIK",
"first_name": "NADEZHDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-20",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "152353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.