LA TISHA LYNN SAN PEDRO-LINTAG (NPI# 1487149407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487149407 |
| Entity Type | Individual |
| Full Name | LA TISHA LYNN SAN PEDRO-LINTAG |
| Practice Address |
3650 Auburn Blvd # C208 Sacramento CA 95821-2069 |
| Mailing Address |
7117 Ballygar Way Elk Grove CA 95758-4423 |
| Practice Telephone | 9163006576 |
| Mailing Telephone | 9165834426 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 650 Howe Ave Bldg 400-a, Sacramento, CA 958254731 | 9165179672 | |
| 8939 E Stockton Blvd, Elk Grove, CA 956249492 | 9165834426 |
| Street Address |
3650 AUBURN BLVD # C208 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-2069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215289475 | Lindsey Yarbrough | Marriage & Family Therapist | 3650 Auburn Blvd # C208, Sacramento, CA 95821-2069 | 2012-10-11 |
| 1265073266 | Tyler Jade Miller | Marriage & Family Therapist | 3650 Auburn Blvd # C208, Sacramento, CA 95821-2069 | 2019-10-01 |
| 1700436227 | Adam Michael Larson | Student in an Organized Health Care Education/Training Program | 3650 Auburn Blvd # C208, Sacramento, CA 95821-2069 | 2019-09-17 |
| 1386205631 | Kelly Morgan | Student in an Organized Health Care Education/Training Program | 3650 Auburn Blvd # C208, Sacramento, CA 95821-2069 | 2019-06-27 |
| 1962966382 | Sarah Marie Harding | Psychologist | 3650 Auburn Blvd # C208, Sacramento, CA 95821-2069 | 2019-01-30 |
| 1174087944 | Heather Moore | Counselor | 3650 Auburn Blvd # C208, Sacramento, CA 95821-2069 | 2019-01-25 |
| 1861990343 | Claudine Martinez | Marriage & Family Therapist | 3650 Auburn Blvd # C208, Sacramento, CA 95821-2069 | 2018-01-30 |
| 1356896849 | Nancy K Georges | Case Manager/Care Coordinator | 3650 Auburn Blvd # C208, Sacramento, CA 95821 | 2016-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982229 | Kira Schetter | Marriage & Family Therapist | 2 Lido Cir, Sacramento, CA 95826-1613 | 2020-11-02 |
| 1730788829 | Amanda Lee Morgan | Marriage & Family Therapist | 3650 Auburn Blvd Ste 208c, Sacramento, CA 95821-2069 | 2020-10-20 |
| 1548878853 | John Wunderley | Marriage & Family Therapist | 5311 D St, Sacramento, CA 95819-3011 | 2020-07-22 |
| 1871115881 | Stacia Ponce | Marriage & Family Therapist | 5332 Calistoga Way, Sacramento, CA 95841-2104 | 2020-05-12 |
| 1376164566 | Kirsten Leitner, Licensed Marriage & Family Therapist, A Prof. Corp. | Marriage & Family Therapist | 2830 I St Ste 306, Sacramento, CA 95816-4311 | 2020-04-29 |
| 1558990317 | Dr. J. Marriage & Family Therapy Inc. | Marriage & Family Therapist | 9845 Horn Rd Ste 190, Sacramento, CA 95827-1948 | 2020-04-03 |
| 1578197257 | Christopher Quiery | Marriage & Family Therapist | 3741 Bridgehaven Way, Sacramento, CA 95834-1677 | 2020-03-03 |
| 1881239333 | Deborah Kjeldsen | Marriage & Family Therapist | 1731 I St Ste 202, Sacramento, CA 95811-3001 | 2019-11-08 |
| 1457993172 | Melissa Alvarez Fernandez | Marriage & Family Therapist | 4438 62nd St, Sacramento, CA 95820-4242 | 2019-10-15 |
| 1942850359 | Paul Hyppolite | Marriage & Family Therapist | 10 Tanfield Ct, Sacramento, CA 95833-2602 | 2019-09-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
Please comment or provide details below to improve the information on LA TISHA LYNN SAN PEDRO-LINTAG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.