Brittany Olisar Tachkov

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT145479 Issued in CA

Practice address

4133 Mohr Ave Ste I
Pleasanton, CA 94566-4750

Phone

(925) 236-0042

NPI assigned

Jul 7, 2022

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 14, 2024 through Mar 14, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1770216699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 ALEXANDER WAY",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888308",
            "telephone_number": "630-989-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 MOHR AVE STE I",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664750",
            "telephone_number": "925-236-0042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2128 Alexander Way",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945888308",
            "country_code": "US",
            "telephone_number": "630-989-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TACHKOV",
        "first_name": "BRITTANY",
        "middle_name": "OLISAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "11672",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT145479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Josephine Svensek
• Charlene Swierkowski, MFT
• Carlene Sydiongco, PTA
• Clydel June Tabacolde
• Sultana Laila Tabaraee, MD
• Riad A Tadros, DDS
• Sepideh Tafreshian, M.D.
• Moses Taghioff, M.D.
• Kyle Rikio Takahashi, DDS
• Lilia E Talavera

• Marriage & Family Therapist in Pleasanton, CA
• Providers in Pleasanton, 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 Mar 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.