Tamara Traeder, MS, LMFT, LPCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 50853 Issued in CA

Practice address

1299 Pine St
Saint Helena, CA 94574-1829

Phone

(510) 414-7784

NPI assigned

Jul 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 25, 2024 through Jan 25, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1922386945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945740523",
            "telephone_number": "510-414-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 PINE ST",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741829",
            "telephone_number": "510-414-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAEDER",
        "first_name": "TAMARA",
        "credential": "MS, LMFT, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "57798",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 50853",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPC 1646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roelof Tikker, D.P.M.
• Lucian Toma
• Melissa Mina Toma, NURSE PRACTITIONER
• Joshua Wayne Caleb Toppenberg, CRNA
• Elisabeth Tozin, CCP
• Tony Khanh Tran, M.D.
• Joel Ian Trent, C.R.N.A.
• William Laurence Turley, M.D.
• Susan K. Turner, CNM, NP
• Susan Ukwu

• Marriage & Family Therapist in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.