Individual provider Active NPI

Janeen Vieira-Taylor, MTF

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1487913596
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
77170 Issued in CA
Practice address
3371 Parker Hill Rd
Santa Rosa, CA 95404-1732
Phone
(707) 255-9028
Fax
(707) 255-3715
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 65114 CA
Marriage & Family Therapist 106H00000X 77170 CA Primary

Addresses

Primary practice location

3371 Parker Hill Rd
Santa Rosa, CA 95404-1732

Mailing address

1100 Lincoln Ave
Napa, CA 94558-4900
Phone (707) 255-3718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418004010 CA Practitioner - Marriage and Family Therapist 8022457381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thriveworks Clinical - California PCGroup PAC ID 1759785645, 55 clinicians

Practice addresses (Care Compare)

815 Hyde St
Suite 301
San Francisco, CA 94109-5998
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65114CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - California PC Mental Health CurrentSince Feb 14, 2024 Accepting new patients
Progress Foundation Past Accepting new patients

Locations

2020 Milvia St
Ste 200
Berkeley, CA 94704
Phone (209) 689-2669

815 Hyde St
Ste 301
San Francisco, CA 94109
Phone (415) 292-5477

710 C St
Ste 211
San Rafael, CA 94901

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1487913596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LINCOLN AVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945584900",
            "telephone_number": "707-255-3718",
            "fax_number": "707-255-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3371 PARKER HILL RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041732",
            "telephone_number": "707-255-9028",
            "fax_number": "707-255-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEIRA-TAYLOR",
        "first_name": "JANEEN",
        "credential": "MTF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "65114",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "77170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.