Tania Protsenko, MA IN COUNSELING PSY

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT # 44132 Issued in CA

Practice address

295 Tradewinds Dr Apt 206
San Jose, CA 95123-6078

Phone

(408) 893-6668

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• LGTC Group

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1881482941
  NPD (past)
• LGTC Inc

  • Registered Dietitian
  • San Jose, CA
  • NPI 1710749494
  NPD (past)
• WK Medical Group

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1588083992

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639247000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 TRADEWINDS DR 206",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95123",
            "telephone_number": "408-893-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 TRADEWINDS DR APT 206",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951236078",
            "telephone_number": "408-893-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTSENKO",
        "first_name": "TANIA",
        "name_prefix": "Ms.",
        "credential": "MA IN COUNSELING PSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT # 44132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald James Prolo, M.D.
• Sinath Prom, RN FIRST ASSISTANT
• Nacha Promsatian
• Pronurseregistery
• Prosper Health Medical Services West PC
• Beth Turner Proudfoot, LMFT
• Natalie Kristine Provenzano, D.D.S.
• Janelle Provost, DC
• Alysha Prum
• Chettra So Prum

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, 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 Jul 8, 2007; 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.