Individual provider Active NPI

Svetlana V. Tikhonova, MFT

  • Marriage & Family Therapist
  • Los Altos, CA
National Provider Identifier
1942325246
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT#79777 Issued in CA
Practice address
4966 El Camino Real
#216
Los Altos, CA 94022-1436
Phone
(650) 388-6747
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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 LMFT#79777 CA Primary

Addresses

Primary practice location

4966 El Camino Real
#216
Los Altos, CA 94022-1436

Mailing address

4966 El Camino Real
#216
Los Altos, CA 94022-1436
Phone (650) 388-6747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
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
LMFT#79777CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Group Therapy , a Professional Corporation Marriage & Family Therapist CurrentSince Mar 12, 2024 Accepting new patients

Locations

4966 El Camino Real
Ste 216
Los Altos, CA 94022
Phone (408) 416-7656

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1942325246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4966 EL CAMINO REAL",
            "address_2": "#216",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221436",
            "telephone_number": "650-388-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4966 EL CAMINO REAL",
            "address_2": "#216",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221436",
            "telephone_number": "650-388-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIKHONOVA",
        "first_name": "SVETLANA",
        "middle_name": "V.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT#79777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.