Individual provider Active NPI

Tegwin Millard, LMFT, LPCC

  • Marriage & Family Therapist
  • West Sacramento, CA
National Provider Identifier
1891093902
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
84909 Issued in CA
Practice address
500B Jefferson Blvd Ste 195
West Sacramento, CA 95605
Phone
(916) 403-2970
NPI assigned
Mar 14, 2011
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 84909 CA Primary
Mental Health Counselor 101YM0800X 5218 CA

Addresses

Primary practice location

500B Jefferson Blvd Ste 195
West Sacramento, CA 95605

Mailing address

1141 Pear Tree LN
Napa, CA 94558-6484
Phone (707) 254-1770

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
I20240530000721 CA Practitioner - Mental Health Counselor 8729420138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5218CAMDMental Health Counselor
84909CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ole Health CurrentSince May 15, 2024 Accepting new patients
Ole Health CurrentSince May 15, 2024 Accepting new patients
Communicare Health Centers Past Accepting new patients

Locations

2051 John Jones Rd
Davis, CA 95616
Phone (530) 753-3498

1141 Pear Tree Ln
Napa, CA 94558
Phone (707) 258-6128

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

500 Jefferson Blvd
Ste 180
West Sacramento, CA 95605
Phone (916) 403-2900

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, 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": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1891093902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586484",
            "telephone_number": "707-254-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500B JEFFERSON BLVD STE 195",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "95605",
            "telephone_number": "916-403-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLARD",
        "first_name": "TEGWIN",
        "credential": "LMFT, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84909",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "5218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

Verify at the official NPI Registry.