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TIREA UFODIKE
NPI 1104340090
Marriage & Family Therapist in Long Beach, CA

Active since August 01, 2017PECOS Enrolled
5150 E PACIFIC COAST HWY STE 100, LONG BEACH, CA 90804(562) 490-7600(562) 490-7601 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Aug 16, 2018, Aug 1, 2017 (3 updates tracked since 2017).

About Tirea Ufodike NPPES

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

TIREA UFODIKE (NPI 1104340090) is an individual marriage & family therapist in Long Beach, California, licensed in California (88251) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104340090
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTIREA UFODIKE
Location Address5150 E PACIFIC COAST HWY STE 100Long Beach, CA 90804
Mailing Address5150 E Pacific Coast Hwy Ste 100Long Beach, CA 90804-3394 · (562) 490-7600 · Fax (562) 490-7601
Phone(562) 490-7600
Fax(562) 490-7601
Sole ProprietorNo
Enumeration DateAugust 1, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1104340090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 88251
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.
5150 E PACIFIC COAST HWY STE 100, Long Beach, CA 90804
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tirea Ufodike is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tirea Ufodike reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
324 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DIANA CRUZ
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
MIRANDA SARAH STOWERS M.A.
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
LYNDSEY MASUYE CHEN
Social Worker (Clinical)
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
SARAH F MONSON
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
BRIAN BERNARD PONCE
Rehabilitation Practitioner
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
ISELA GARCIA
Rehabilitation Practitioner
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
MS. LISA MARY PROBST LMFT 90976
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7638
MRS. HEATHER NICOLE SCHMIDT
Social Worker (Clinical)
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600

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 Tirea Ufodike's NPI number?

The NPI number for Tirea Ufodike is 1104340090. It was assigned to this individual provider in the NPPES registry on August 1, 2017.

Where is Tirea Ufodike located?

Tirea Ufodike practices at 5150 E Pacific Coast Hwy Ste 100, Long Beach, CA 90804. The listed phone number is (562) 490-7600.

What is Tirea Ufodike's specialty?

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

Is Tirea Ufodike enrolled in Medicare?

Yes. Tirea Ufodike is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tirea Ufodike's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tirea Ufodike reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tirea Ufodike's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tirea Ufodike was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.