Individual provider Active NPI

Tonya Waechter

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1861069460
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
41353 Issued in CA
Practice address
801 Portola Dr Ste 108
San Francisco, CA 94127-1234
Phone
(415) 674-7504
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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 41353 CA Primary

Addresses

Primary practice location

801 Portola Dr Ste 108
San Francisco, CA 94127-1234

Mailing address

95 Longview Dr
Daly City, CA 94015-4717
Phone (916) 955-0798

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL twaechter@ccctherapist.org Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1861069460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LONGVIEW DR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154717",
            "telephone_number": "916-955-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PORTOLA DR STE 108",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271234",
            "telephone_number": "415-674-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAECHTER",
        "first_name": "TONYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "41353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "twaechter@ccctherapist.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "801 Portola Dr Ste 108",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941271234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.