Individual provider Active NPI

Cynthia Holmes Teichert, MFT

  • Marriage & Family Therapist
  • Lafayette, CA
National Provider Identifier
1902958549
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
ML17132 Issued in CA
Practice address
957 Mountain View Dr
Lafayette, CA 94549-3729
Phone
(925) 228-8656
Fax
(925) 370-2276
NPI assigned
Jan 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ML17132 CA Primary

Addresses

Primary practice location

957 Mountain View Dr
Lafayette, CA 94549-3729

Mailing address

264 Sunnybrae Dr
Martinez, CA 94553-5842
Phone (925) 228-8656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ML17132CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902958549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 SUNNYBRAE DR",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945535842",
            "telephone_number": "925-228-8656",
            "fax_number": "925-370-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 MOUNTAIN VIEW DR",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493729",
            "telephone_number": "925-228-8656",
            "fax_number": "925-370-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEICHERT",
        "first_name": "CYNTHIA",
        "middle_name": "HOLMES",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "ML17132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

Verify at the official NPI Registry.