Active NPI
Tanya Ridaura
- Professional Counselor
- El Centro, CA
National Provider Identifier
1821676529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14445
- Practice address
- 102 N 21St St
El Centro, CA 92243-3551 - Phone
- (760) 545-8209
- NPI assigned
- Apr 1, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14445 | CA | Primary |
Addresses
Primary practice location
102 N 21St St
El Centro, CA 92243-3551
Mailing address
102 N 21St St
El Centro, CA 92243-3551
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womanhaven, Inc. | Past | Accepting new patients | |
| Womanhaven | 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.
-
- Adult Mental Health Clinic/Center
- El Centro, CA
- NPI 1114684008
-
- Voluntary or Charitable Agency
- El Centro, CA
- NPI 1629406442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1821676529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 N 21ST ST",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922433551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 N 21ST ST",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922433551",
"telephone_number": "760-545-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDAURA",
"first_name": "TANYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-01",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "14445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.