Individual provider Active NPI

Nadezhda Tyutyunik

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1396698130
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
152353 Issued in CA
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

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
152353CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.