Theresa Juanita Hart, ED.D., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

43734 Issued in CA

Practice address

2116 Silverado Dr
Antioch, CA 94509-5844

Phone

(925) 550-7651

NPI assigned

Oct 1, 2010

Last updated

Oct 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Theresa Juanita Good Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1659680049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 SILVERADO DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945095844",
            "telephone_number": "925-550-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 SILVERADO DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945095844",
            "telephone_number": "925-550-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "THERESA",
        "middle_name": "JUANITA",
        "name_prefix": "Dr.",
        "credential": "ED.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "GOOD",
            "middle_name": "JUANITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela D. Harris
• Rick Ryan Harris, D.C., Q.M.E., I.D.E.
• Yolanda Harris
• Ashley Nicole Harrison
• Damika Harrison
• Jatia Harvey
• Moska Hasanzada
• Mayah Hash
• Kamran Hassan, M.D
• Dennis Matthew Hatch Jr., DC

• Marriage & Family Therapist in Antioch, CA
• Providers in Antioch, 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 Oct 1, 2010; 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.