Individual provider Active NPI

Tsegamlak Teleale Worku, M.F.T.

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1922165802
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 37565 Issued in CA
Practice address
1000 E Walnut St
Suite 115
Pasadena, CA 91106-1452
Phone
(626) 786-1019
Fax
(626) 628-3638
NPI assigned
Jan 2, 2007
Sex
Male
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 MFC 37565 CA Primary

Addresses

Primary practice location

1000 E Walnut St
Suite 115
Pasadena, CA 91106-1452

Mailing address

1000 E Walnut St
Suite 115
Pasadena, CA 91106-1452
Phone (626) 786-1019

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
I20260217001681 CA Practitioner - Clinical Social Worker 9335629500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

393 N Lake Ave
Pasadena, CA 91101-1213
Phone (626) 817-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 37565CAMDMarriage & Family Therapist
37565CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Avenue Counseling Center Marriage & Family Therapist CurrentSince Dec 13, 2025 Accepting new patients
Worku Counseling Inc Marriage & Family Therapist CurrentSince Dec 13, 2025 Accepting new patients

Locations

393 N Lake Ave
Pasadena, CA 91101
Phone (626) 817-4888

Organizations & group practices 2

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922165802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E WALNUT ST",
            "address_2": "SUITE 115",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061452",
            "telephone_number": "626-786-1019",
            "fax_number": "626-628-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E WALNUT ST",
            "address_2": "SUITE 115",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061452",
            "telephone_number": "626-786-1019",
            "fax_number": "626-628-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKU",
        "first_name": "TSEGAMLAK",
        "middle_name": "TELEALE",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 37565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.