Beta Abdolahi, LMFT
Individual provider Active NPI Marriage & Family Therapist · Tracy, CA
NPI 1972155331 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1972155331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 154607 (CA)
- Practice address
- 403 W 11TH St Ste a
Tracy, CA 95376-3816 - Phone
- (209) 222-8802
- NPI assigned
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250617003408 | CA | Practitioner - Marriage and Family Therapist | 3072024959 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154607 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Community Family Therapy Services | Marriage & Family Therapist | Current |
Accepting new patients |
| Sud Specialty Group - Ca | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
403 W 11th St
Ste A
Tracy, CA 95376
Phone (209) 222-8802
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 154607 | CA | Yes |
Addresses
Primary practice location
403 W 11TH St Ste a
Tracy, CA 95376-3816
Mailing address
403 W 11TH St Ste a
Tracy, CA 95376-3816
Other practice location 1
5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Phone (323) 205-7088
Other providers in Tracy, CA
- A Perfect Finnish Medical Spa, Inc.
- Aam Optical LLC
- Cassi Aarvig
- ABA Nest
- Alaa Mohamed Abdalla
- Maram Abed
- Keeley Abelar
- Reem Sabe Abu Lubdeh
- Husam Abdel-Majid Abu-Sneineh
- Minaleshoa H Abye
All providers in Tracy, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.