Active NPI
Hana Lee Taberner
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1750847133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 116009
- Practice address
- 2307 Fenton Pkwy # 107-262
San Diego, CA 92108-4746 - Phone
- (858) 876-4159
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 116009 | CA | Primary |
Addresses
Primary practice location
2307 Fenton Pkwy # 107-262
San Diego, CA 92108-4746
Mailing address
2307 Fenton Pkwy # 107-262
San Diego, CA 92108-4746
Phone (858) 876-4159
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
| License | State | Type | Specialty |
|---|---|---|---|
| 116009 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ever Rising Marriage and Family Therapy | Marriage & Family Therapist | Current | Accepting new patients |
| Vanessa Villasenor Licensed Marriage and Family Therapist Inc | Past | Accepting new patients |
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.
-
- Marriage & Family Therapist
- San Diego, CA
- NPI 1629795380
-
- Mental Health Counselor
- San Diego, CA
- NPI 1083198782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1750847133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 FENTON PKWY # 107-262",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084746",
"telephone_number": "858-876-4159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 FENTON PKWY # 107-262",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084746",
"telephone_number": "858-876-4159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABERNER",
"first_name": "HANA",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "116009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.