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MRS. JILL MARIE TIEDEMAN LMFT
NPI 1154636389
Marriage & Family Therapist in Stockton, CA

Active since August 12, 2010
5903 MONTAUK WAY, STOCKTON, CA 95219(209) 986-3672 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2024, Jan 11, 2022 (2 updates tracked since 2022).

About Mrs. Jill Marie Tiedeman Lmft NPPES

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

MRS. JILL MARIE TIEDEMAN LMFT (NPI 1154636389) is an individual marriage & family therapist in Stockton, California, licensed in California (109807) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1154636389
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. JILL MARIE TIEDEMANCredential: LMFT
Location Address5903 MONTAUK WAYStockton, CA 95219-7282
Mailing Address5903 Montauk WayStockton, CA 95219-7282 · (209) 986-3672
Phone(209) 986-3672
Sole ProprietorNo
Enumeration DateAugust 12, 2010
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1154636389 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 · 109807
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.
5903 MONTAUK WAY, Stockton, CA 95219
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Other Names 1

Other Name (5)Mrs. Jill Marie Solari Lmft

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 Jill Tiedeman's NPI number?

The NPI number for Jill Tiedeman is 1154636389. It was assigned to this individual provider in the NPPES registry on August 12, 2010. The provider is also known as Mrs. Jill Marie Solari Lmft.

Where is Jill Tiedeman located?

Jill Tiedeman practices at 5903 Montauk Way, Stockton, CA 95219. The listed phone number is (209) 986-3672.

What is Jill Tiedeman'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 Jill Tiedeman was last updated on October 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.