Individual provider Active NPI

Teresa Lynn Hood, LMFT

  • Marriage & Family Therapist
  • Vacaville, CA
National Provider Identifier
1861036691
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT138309 Issued in CA
Practice address
790 Mason St Ste 102
Vacaville, CA 95688-4661
Phone
(707) 639-1215
NPI assigned
Nov 5, 2019
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT138309 CA Primary

Addresses

Primary practice location

790 Mason St Ste 102
Vacaville, CA 95688-4661

Mailing address

790 Mason St Ste 102
Vacaville, CA 95688-4661
Phone (707) 639-1215

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240111000044 CA Practitioner - Marriage and Family Therapist 8426409780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kairos Psychology PCGroup PAC ID 3870984925, 5 clinicians

Practice addresses (Care Compare)

790 Mason St
Suite 102
Vacaville, CA 95688-4661
Phone (707) 874-8463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT138309CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kairos Psychology PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

790 Mason St
Ste 102
Vacaville, CA 95688
Phone (707) 335-4209

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1861036691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 MASON ST STE 102",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884661",
            "telephone_number": "707-639-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 MASON ST STE 102",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884661",
            "telephone_number": "707-639-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT138309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.