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TYRENE MICHELLE SIADOUS MFT
NPI 1124165311
Marriage & Family Therapist in Redding, CA

Active since January 30, 2007Opted out of Medicare · through Jan 1, 2028
1005 YUBA ST, REDDING, CA 96001(530) 710-8255 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyrene Michelle Siadous Mft NPPES

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

TYRENE MICHELLE SIADOUS MFT (NPI 1124165311) is an individual marriage & family therapist in Redding, California, licensed in California (50120) and active in the NPI registry since January 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1124165311
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTYRENE MICHELLE SIADOUSCredential: MFT
Location Address1005 YUBA STRedding, CA 96001-1165
Mailing Address1005 Yuba StRedding, CA 96001-1165 · (530) 710-8255
Phone(530) 710-8255
Sole ProprietorYes
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJune 18, 2013
✔ NPI 1124165311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 50120
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 50120 (CA)
1005 YUBA ST, Redding, CA 96001
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tyrene Michelle Siadous Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Tyrene Siadous's NPI number?

The NPI number for Tyrene Siadous is 1124165311. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Tyrene Siadous located?

Tyrene Siadous practices at 1005 Yuba St, Redding, CA 96001. The listed phone number is (530) 710-8255.

What is Tyrene Siadous's specialty?

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

Is Tyrene Siadous enrolled in Medicare?

No. Tyrene Siadous has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tyrene Siadous was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.