Active NPI
Tracy Theresa Taris, MFT INTERN
- Marriage & Family Therapist
- Valencia, CA
National Provider Identifier
1972785830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 50782
- Practice address
- 23822 Valencia Blvd
Suite 204
Valencia, CA 91355-5302 - Phone
- (818) 618-2061
- Fax
- (818) 618-2061
- NPI assigned
- Dec 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 50782 | CA | Primary |
Addresses
Primary practice location
23822 Valencia Blvd
Suite 204
Valencia, CA 91355-5302
Mailing address
25136 Marci Way
Valencia, CA 91355-3051
Phone (818) 618-2061
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 |
|---|---|---|---|
| MFC 50782 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing the Mind & Spirit, Inc | Marriage & Family Therapist | 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, 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": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1972785830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25136 MARCI WAY",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913553051",
"telephone_number": "818-618-2061",
"fax_number": "818-618-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23822 VALENCIA BLVD",
"address_2": "SUITE 204",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555302",
"telephone_number": "818-618-2061",
"fax_number": "818-618-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARIS",
"first_name": "TRACY",
"middle_name": "THERESA",
"name_prefix": "Mrs.",
"credential": "MFT INTERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 50782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.