Tiffany Alexandria Alonzo Moore, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

155166 Issued in CA

Practice address

4545 Georgetown PL Ste A3
Stockton, CA 95207-6228

Phone

(209) 429-0377

NPI assigned

Aug 26, 2022

Last updated

May 22, 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 2

Addresses

Electronic endpoints 1

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1720707193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 GEORGETOWN PL STE A3",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076228",
            "telephone_number": "209-429-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 GEORGETOWN PL STE A3",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076228",
            "telephone_number": "209-429-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONZO MOORE",
        "first_name": "TIFFANY",
        "middle_name": "ALEXANDRIA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "AMFT132956",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "155166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "talonzo@telecarecorp.com",
            "affiliation": "N",
            "address_1": "4545 Georgetown Pl Ste A3",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952076228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marriage & Family Therapist in Stockton, CA
• Providers in Stockton, 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 May 22, 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.