Individual provider Active NPI

Timea Tenkei, IMF

  • Marriage & Family Therapist
  • Petaluma, CA
National Provider Identifier
1902060015
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT50507 Issued in CA
Practice address
1533 Sierra Dr
Petaluma, CA 94954-3719
Phone
(415) 260-9350
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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 IMF 48266 CA
Marriage & Family Therapist 106H00000X LMFT50507 CA Primary

Addresses

Primary practice location

1533 Sierra Dr
Petaluma, CA 94954-3719

Mailing address

1533 Sierra Dr
Petaluma, CA 94954-3719
Phone (415) 260-9350

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
I20240815002632 CA Practitioner - Marriage and Family Therapist 9537607973 Practice locations: Santa Rosa, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

850 3Rd St
Santa Rosa, CA 95404-4529
Phone (415) 260-9350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF 48266CAMDMarriage & Family Therapist
LMFT50507CAMDMarriage & Family Therapist
50507CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1902060015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 SIERRA DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949543719",
            "telephone_number": "415-260-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 SIERRA DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949543719",
            "telephone_number": "415-260-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENKEI",
        "first_name": "TIMEA",
        "credential": "IMF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2021-04-13",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 48266",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT50507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

Verify at the official NPI Registry.