SHAW TIEFENBACH (NPI# 1306446315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306446315 |
| Entity Type | Individual |
| Full Name | SHAW TIEFENBACH |
| Practice Address |
3657 Ricardo Ave Redding CA 96002-2627 |
| Practice Telephone | 5302429007 |
| Practice Fax Number | 5302232027 |
| Mailing Telephone | 5302429007 |
| Mailing Fax Number | 5302232027 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
3657 RICARDO AVE |
| City | REDDING |
| State | CA |
| Zip Code | 96002-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194053116 | Lluvia Hetrick | Social Worker | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2009-12-02 |
| 1366042269 | Christopher Garcia | Marriage & Family Therapist | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-10-29 |
| 1801496807 | Kari Hess | Social Worker | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-10-28 |
| 1255931259 | Jung Chay | Marriage & Family Therapist | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-10-28 |
| 1952901092 | Mattison Wenham | Marriage & Family Therapist | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-10-28 |
| 1245864222 | Pamela Politi | Marriage & Family Therapist | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-02-27 |
| 1952935934 | Colleen Ogden | Marriage & Family Therapist | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-02-27 |
| 1689208662 | Lydia Mcgaffee | Case Manager/Care Coordinator | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-02-27 |
| 1033743422 | Sean Mcmasters | Marriage & Family Therapist | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-02-25 |
| 1255965703 | Treva Forrister | Case Manager/Care Coordinator | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048037 | Daniel Eli Bartee | Counselor | 555 Leila Ave #44, Redding, CA 96002 | 2020-09-17 |
| 1407467129 | Drake Exstrom | Dentist | 2315 North Bechelli Ln, Suite A, Redding, CA 96002 | 2020-08-14 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1528510153 | Daniel Conklin | Pharmacist | 2880 Churn Creek, Redding, CA 96002 | 2016-10-31 |
| 1740653864 | Votc, Inc. | Substance Abuse Rehabilitation Facility | 3590 El Portal Dr., # 7, 8, 9, 10, 15, 16, & 17, Redding, CA 96002 | 2015-11-11 |
| 1801226253 | Katie Marie Mccullough-stubbs | Marriage & Family Therapist | 3300 Church Creek, Redding, CA 96002 | 2013-11-21 |
| 1801234026 | Kathy Lynne Hawk | Community Health Worker | 2051 Hilltop Dr A-13, Redding, CA 96002 | 2013-06-10 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1336442664 | Small Talk Pediatric Services, Inc. | Speech-Language Pathologist | 2526 Goodwater Ave., Suite A, Redding, CA 96002 | 2010-12-08 |
| Find all providers in zip 96002 | ||||
| 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 |
|---|---|---|---|---|
| 1760083463 | John Nelson | Marriage & Family Therapist | 4625 Mountain Lakes Blvd, Redding, CA 96003-1450 | 2020-11-08 |
| 1871117168 | Katherine Marie Rauch | Marriage & Family Therapist | 20420 Greenview Dr, Redding, CA 96002-9667 | 2020-06-02 |
| 1922627850 | Lynn Minnea Newman | Marriage & Family Therapist | 6280 Oasis Rd, Redding, CA 96003-9701 | 2020-04-10 |
| 1710527692 | Kelli Lynn Lull | Marriage & Family Therapist | 1845 Wheeler St # 2, Redding, CA 96002-1403 | 2020-01-08 |
| 1912542903 | Jillian Lee Tyson | Marriage & Family Therapist | 1405 Victor Ave Ste D, Redding, CA 96003-4859 | 2019-11-13 |
| 1912559071 | Kelsey Wise | Marriage & Family Therapist | 5601 Eastside Rd, Redding, CA 96001-4531 | 2019-07-09 |
| 1427618917 | Hannah Wilson | Marriage & Family Therapist | 1650 Oregon St Ste 16, Redding, CA 96001-1701 | 2019-06-17 |
| 1851860829 | Cory Beard | Marriage & Family Therapist | 1905 Park Marina Dr, Redding, CA 96001-0962 | 2018-11-19 |
| 1831601731 | Mary Zupancic Nagashima | Marriage & Family Therapist | 1647 Hartnell Ave Ste 14, Redding, CA 96002-2268 | 2017-11-01 |
| 1790201119 | Nancy Ellen Zinn | Marriage & Family Therapist | 1452 Oregon St Ste 102, Redding, CA 96001-1620 | 2017-08-17 |
| Find all providers in REDDING | ||||
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| 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.