Active NPI
Gina Patrice Tevis, LMFT
- Marriage & Family Therapist
- Vacaville, CA
National Provider Identifier
1952895187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 77135
- Practice address
- 831 Alamo Dr Ste 6D
Vacaville, CA 95688-5343 - Phone
- (707) 624-9767
- Fax
- (707) 471-4140
- NPI assigned
- Jun 20, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 77135 | CA | Primary |
Addresses
Primary practice location
831 Alamo Dr Ste 6D
Vacaville, CA 95688-5343
Mailing address
831 Alamo Dr Ste 6B
Vacaville, CA 95688-5343
Phone (707) 624-9767
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1952895187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 ALAMO DR STE 6B",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956885343",
"telephone_number": "707-624-9767",
"fax_number": "707-471-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 ALAMO DR STE 6D",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956885343",
"telephone_number": "707-624-9767",
"fax_number": "707-471-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEVIS",
"first_name": "GINA",
"middle_name": "PATRICE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "77135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.