Individual provider Active NPI

Katelin Tanda

  • Marriage & Family Therapist
  • El Dorado Hills, CA
National Provider Identifier
1497256572
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
127609 Issued in CA
Practice address
4987 Golden Foothill Pkwy Ste 2
El Dorado Hills, CA 95762-9364
Phone
(916) 365-2411
NPI assigned
Feb 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 127609 CA Primary

Addresses

Primary practice location

4987 Golden Foothill Pkwy Ste 2
El Dorado Hills, CA 95762-9364

Mailing address

831 Bryce CT
El Dorado Hills, CA 95762-7667

Other practice location 1

420 Folsom Rd Ste C
Roseville, CA 95678-2767
Phone (916) 676-3548

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
127609CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearts and Hands Counseling Past Accepting new patients

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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1497256572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 BRYCE CT",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4987 GOLDEN FOOTHILL PKWY STE 2",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629364",
            "telephone_number": "916-365-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Folsom Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956782767",
            "country_code": "US",
            "telephone_number": "916-676-3548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANDA",
        "first_name": "KATELIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "127609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.