Individual provider Active NPI

Tryniti Rae-Ray Weyker

  • Marriage & Family Therapist
  • Fountain Valley, CA
National Provider Identifier
1861292393
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
153819 Issued in CA
Practice address
16580 Harbor Blvd Ste M
Fountain Valley, CA 92708-1385
Phone
(714) 975-5201
NPI assigned
Mar 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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 153819 CA Primary

Addresses

Primary practice location

16580 Harbor Blvd Ste M
Fountain Valley, CA 92708-1385

Mailing address

16580 Harbor Blvd Ste M
Fountain Valley, CA 92708-1385
Phone (714) 975-5201

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

State licenses

LicenseStateTypeSpecialty
153819CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1861292393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16580 HARBOR BLVD STE M",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081385",
            "telephone_number": "714-975-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16580 HARBOR BLVD STE M",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081385",
            "telephone_number": "714-975-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYKER",
        "first_name": "TRYNITI",
        "middle_name": "RAE-RAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "153819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.