Individual provider Active NPI

Joseph Alexander Tansek, MA, LMFT

  • Marriage & Family Therapist
  • Campbell, CA
National Provider Identifier
1790926392
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 47964 Issued in CA
Practice address
621 E Campbell Ave Ste 8
Campbell, CA 95008-2126
Phone
(408) 649-4007
Fax
(408) 295-4081
NPI assigned
Mar 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CA
Professional Counselor 101YP2500X CA
Marriage & Family Therapist 106H00000X MFC 47964 CA Primary

Addresses

Primary practice location

621 E Campbell Ave Ste 8
Campbell, CA 95008-2126

Mailing address

793 Bend Ave
San Jose, CA 95136-1802
Phone (408) 649-4007

Other identifiers 3

IdentifierTypeStateIssuer
462521OtherCAMHN PROVIDER ID
818811368OtherCAUBH PROVIDER NUMBER
MFT479640OtherCABLUE SHIELD PROVIDER ID

Medicare participation

Medicare enrollment files
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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

621 E Campbell Ave
Suite 8
Campbell, CA 95008-2126
Phone (408) 649-4007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 47964CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1790926392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 BEND AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951361802",
            "telephone_number": "408-649-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E CAMPBELL AVE STE 8",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082126",
            "telephone_number": "408-649-4007",
            "fax_number": "408-295-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANSEK",
        "first_name": "JOSEPH",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 47964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN PROVIDER ID",
            "identifier": "462521",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH PROVIDER NUMBER",
            "identifier": "818811368",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER ID",
            "identifier": "MFT479640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.