Individual provider Active NPI

Wendy Tappon, MFTI

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1972928810
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT96874 Issued in CA
Practice address
2255 Challenger Way Ste 107
Santa Rosa, CA 95407-5423
Phone
(707) 565-4738
NPI assigned
Mar 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 70909 CA
Marriage & Family Therapist 106H00000X LMFT96874 CA Primary

Addresses

Primary practice location

2255 Challenger Way Ste 107
Santa Rosa, CA 95407-5423

Mailing address

2255 Challenger Way Ste 107
Santa Rosa, CA 95407-5423
Phone (707) 565-4738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 2, 2024 through Dec 2, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
96874CAMDClinical Social Worker
LMFT96874CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1972928810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 CHALLENGER WAY STE 107",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075423",
            "telephone_number": "707-565-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 CHALLENGER WAY STE 107",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075423",
            "telephone_number": "707-565-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPPON",
        "first_name": "WENDY",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-02",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "70909",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT96874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.