Tasneem Khraisat

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

156849 Issued in CA

Practice address

12141 Brookhurst St Ste 101
Garden Grove, CA 92840-2865

Phone

(714) 296-1934

NPI assigned

Aug 8, 2022

Last updated

Aug 13, 2025By 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 1

Addresses

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.

• Telecare Corporation

  dba AMHS TAO Central FSP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Garden Grove, CA
  • NPI 1346737590
  NPD
• Telecare Corporation

  dba Valley Vista Permanent Supportive Housing

  • Mental Illness Community Based Residential Treatment Facility
  • San Diego, CA
  • NPI 1275398935
  NPD (past)
• Telecare Corporation

  dba AMHS Telecare TREEhouse Crisis Residential North

  • Psychiatric Residential Treatment Facility
  • Anaheim, CA
  • NPI 1902312564
  NPD (past)

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1447988514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S STATE COLLEGE BLVD # 1111",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064116",
            "telephone_number": "714-900-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 BROOKHURST ST STE 101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402865",
            "telephone_number": "714-296-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHRAISAT",
        "first_name": "TASNEEM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "156849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khanh Bao Nguyen MD Inc
• Khiem D Lai MD Inc
• Khiem PV Nguyen MD Cardiology Associates Medical Group Inc
• Khoi Dinh Nguyen Medical Office Inc
• Khoi Quang Tang, M.D., Inc.
• Diem Phuong Khuu, PHARM.D
• Grace Kiarie
• Kid Fundamentals Therapy Center, Inc.
• Maki Kido, BCBA
• Misa Kieu

• Marriage & Family Therapist in Garden Grove, CA
• Providers in Garden Grove, 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 Aug 13, 2025; 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.