Active NPI
Talia Jean Nadeau, LMFT
- Marriage & Family Therapist
- Fort Bragg, CA
National Provider Identifier
1942655634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT124500
- Practice address
- 327 E. Redwood Ave, Suite 331-D
Fort Bragg, CA 95437 - Phone
- (707) 813-2104
- NPI assigned
- Apr 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 86103 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT124500 | CA | Primary |
Addresses
Primary practice location
327 E. Redwood Ave, Suite 331-D
Fort Bragg, CA 95437
Mailing address
PO Box 2808
Fort Bragg, CA 95437
Phone (915) 745-5929
Other names 1
- Talia Jean Hoffman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86103 | CA | MD | Mental Health Counselor |
| LMFT124500 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1942655634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2808",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "95437",
"telephone_number": "915-745-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 E. REDWOOD AVE, SUITE 331-D",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "95437",
"telephone_number": "707-813-2104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADEAU",
"first_name": "TALIA",
"middle_name": "JEAN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-29",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "86103",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT124500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TALIA",
"last_name": "HOFFMAN",
"middle_name": "JEAN",
"credential": "LMFT 124500",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Bragg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.