Individual provider Active NPI

Tatum Jayme Martin

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1881438414
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
146617 Issued in CA
Practice address
260 Maple CT Ste 228
Ventura, CA 93003-3568
Phone
(805) 791-9700
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 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 146617 CA Primary

Addresses

Primary practice location

260 Maple CT Ste 228
Ventura, CA 93003-3568

Mailing address

1833 Montgomery Ave
Ventura, CA 93004-3142
Phone (805) 901-7121

Other practice location 1

1722 S Lewis Rd
Camarillo, CA 93012-8520
Phone (805) 366-4040

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
146617CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Foundation for the Spiritual Practice of Creativity CurrentSince Jan 19, 2025 Accepting new patients
Engage Psychotherapy, Inc. PastSince Jun 1, 2024 Accepting new patients
Engage Treatment Program, Inc PastSince Jun 16, 2024 Accepting new patients

Locations

260 Maple Ct
Ste 228
Ventura, CA 93003
Phone (805) 637-1620

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1881438414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 MONTGOMERY AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930043142",
            "telephone_number": "805-901-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MAPLE CT STE 228",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033568",
            "telephone_number": "805-791-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1722 S Lewis Rd",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930128520",
            "country_code": "US",
            "telephone_number": "805-366-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TATUM",
        "middle_name": "JAYME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "146617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.