Active NPI
Tecsia Bonique Evans, PH.D.
- Mental Health Counselor
- Union City, CA
National Provider Identifier
1982852398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3555 Whipple Rd
Building a
Union City, CA 94587-1507 - Phone
- (415) 491-5700
- Fax
- (415) 491-5750
- NPI assigned
- Aug 28, 2008
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3555 Whipple Rd
Building a
Union City, CA 94587-1507
Mailing address
3555 Whipple Rd
Union City, CA 94587-1507
Other names 1
- Ms. Tecsia Bonique Ross
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24563 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Therapy Now Psychology Services a Professional Corporation | 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.
-
- Adult Mental Health Clinic/Center
- Oakland, CA
- NPI 1235911231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1982852398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 WHIPPLE RD",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945871507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 WHIPPLE RD",
"address_2": "BUILDING A",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945871507",
"telephone_number": "415-491-5700",
"fax_number": "415-491-5750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "TECSIA",
"middle_name": "BONIQUE",
"name_prefix": "Mrs.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-28",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TECSIA",
"last_name": "ROSS",
"middle_name": "BONIQUE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Union City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.