TAMARA MARIE MICKELSON
NPI 1013240647
Marriage & Family Therapist in San Jose, CA

Active since September 15, 2009
1885 LUNDY AVE STE 223, SAN JOSE, CA 95131(408) 284-9000 Get Directions Write a Review

NPPES record last updated: September 15, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tamara Marie Mickelson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMARA MARIE MICKELSON (NPI 1013240647) is an individual marriage & family therapist in San Jose, California and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1013240647
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTAMARA MARIE MICKELSON
Location Address1885 LUNDY AVE STE 223San Jose, CA 95131-1888
Mailing Address701 Shelter Creek Ln Apt 8131San Bruno, CA 94066-3855 · (805) 705-9808
Sole ProprietorYes
Enumeration DateSeptember 15, 2009
NPI 1013240647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
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.
1885 LUNDY AVE STE 223, San Jose, CA 95131

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131
Rehabilitation Practitioner
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131
Nurse Practitioner (Psychiatric/Mental Health)
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131
Marriage & Family Therapist
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131
Student in an Organized Health Care Education/Training Program
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131
Social Worker
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131
Rehabilitation Practitioner
1885 LUNDY AVE STE 223
SAN JOSE, CA 95131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamara Mickelson's NPI number?

The NPI number for Tamara Mickelson is 1013240647. It was assigned to this individual provider in the NPPES registry on September 15, 2009.

Where is Tamara Mickelson located?

Tamara Mickelson practices at 1885 Lundy Ave Ste 223, San Jose, CA 95131. The listed phone number is (408) 284-9000.

What is Tamara Mickelson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Tamara Mickelson was last updated on September 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.