Active NPI
Tamara Khadija Altowaiji, AMFT
- Mental Health Counselor
- Irvine, CA
National Provider Identifier
1780495630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 137867
- Practice address
- 111 Pacifica Ste 120
Irvine, CA 92618-7419 - Phone
- (714) 455-9887
- NPI assigned
- Jan 18, 2025
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 137867 | CA | Primary |
Addresses
Primary practice location
111 Pacifica Ste 120
Irvine, CA 92618-7419
Mailing address
111 Pacifica Ste 120
Irvine, CA 92618-7419
Phone (714) 455-9887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 27, 2025 through Aug 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137867 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737158400000",
"number": "1780495630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 PACIFICA STE 120",
"city": "IRVINE",
"state": "CA",
"postal_code": "926187419",
"telephone_number": "714-455-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PACIFICA STE 120",
"city": "IRVINE",
"state": "CA",
"postal_code": "926187419",
"telephone_number": "714-455-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTOWAIJI",
"first_name": "TAMARA",
"middle_name": "KHADIJA",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-18",
"last_updated": "2025-01-18",
"certification_date": "2025-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "137867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.