Monica Venetcia Autrey-Madden, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

33438 Issued in CA

Practice address

2926 Lone Tree Way
Antioch, CA 94509-4924

Phone

(510) 209-7606

Fax

(925) 303-2198

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myfaith Community & Counseling Services

  • Marriage & Family Therapist
  • Antioch, CA
  • NPI 1194505115
  NPD

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1801947908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 FIELD BROOK CT",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317478",
            "telephone_number": "510-209-7606",
            "fax_number": "925-303-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094924",
            "telephone_number": "510-209-7606",
            "fax_number": "925-303-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTREY-MADDEN",
        "first_name": "MONICA",
        "middle_name": "VENETCIA",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "33438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• At Home Care Companion Services Inc
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• Jalal A. Atmar, MD
• Aurora Rose Consulting and Support, LLC
• Nathan Pierre Austin
• Corey Anthony Avaloz
• Jose Maurilio Avelar
• Hugo Aviles
• Gabriela Ayala Delgado, MA- PPS
• David Ayala Torres

• Marriage & Family Therapist in Antioch, CA
• Providers in Antioch, 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 Jul 15, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.