Active NPI
Joni Dickson Garcia, LMFT #102382
- Marriage & Family Therapist
- Tracy, CA
National Provider Identifier
1952746430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT102382
- Practice address
- 359 W 11TH St
Tracy, CA 95376-3862 - Phone
- (209) 603-2929
- NPI assigned
- May 9, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IMF83664 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT102382 | CA | Primary |
Addresses
Primary practice location
359 W 11TH St
Tracy, CA 95376-3862
Mailing address
3021 Balboa Dr
Tracy, CA 95376-1905
Phone (209) 603-2929
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 |
|---|---|---|---|
| IMF83664 | CA | MD | Professional Counselor |
| LMFT102382 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Family Therapy PC | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tracy, CA
- NPI 1194230086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507248000000",
"number": "1952746430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 BALBOA DR",
"city": "TRACY",
"state": "CA",
"postal_code": "953761905",
"telephone_number": "209-603-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 W 11TH ST",
"city": "TRACY",
"state": "CA",
"postal_code": "953763862",
"telephone_number": "209-603-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKSON GARCIA",
"first_name": "JONI",
"credential": "LMFT #102382",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-09",
"last_updated": "2017-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "IMF83664",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT102382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.