Katherine Tidrick

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

128979 Issued in CA

Practice address

1901 Barney Rd
Anderson, CA 96007-4301

Phone

(916) 642-7800

Fax

(888) 870-9642

NPI assigned

Sep 5, 2017

Last updated

Apr 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Forward Wellness Family Therapy, Inc.

  • Community/Behavioral Health Agency
  • Placentia, CA
  • NPI 1093398059
  Medicare reassignment NPD

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1932627411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 BARNEY RD",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960074301",
            "telephone_number": "916-642-7800",
            "fax_number": "888-870-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 BARNEY RD",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960074301",
            "telephone_number": "916-642-7800",
            "fax_number": "888-870-9642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "556 Cohasset Rd",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959262212",
            "country_code": "US",
            "telephone_number": "916-642-7800 x101",
            "fax_number": "888-870-8642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIDRICK",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney M Swenson, D.O.
• Tessie Takehara, M.S., BCBA
• Larry Deshawn Tanner Jr.
• Joseph Terry
• Thrifty Payless Inc (Rite Aid Pharmacy 06100)
• Bailey Tompkins
• Ryan Neal Tucker, MS
• Joshlynn Rose Turner
• Dianna L Varnell, LVN
• Madelyne Veverrakenner

• Marriage & Family Therapist in Anderson, CA
• Providers in Anderson, 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, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.