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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LA TANYA ALICIA TAKLA EDD, LMFT, LPCC
NPI 1366635526
Psychologist - Clinical in Modesto, CA

Active since August 21, 2007PECOS Enrolled
1343 MAGNOLIA AVE, MODESTO, CA 95350(916) 642-9522(916) 234-5056 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2021, Aug 5, 2021, Mar 11, 2021 and 2 more (5 updates tracked since 2019).

About Dr. La Tanya Alicia Takla Edd, Lmft, Lpcc NPPES

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

DR. LA TANYA ALICIA TAKLA EDD, LMFT, LPCC (NPI 1366635526) is an individual clinical provider in Modesto, California, licensed in California (32391) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366635526
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LA TANYA ALICIA TAKLACredential: EDD, LMFT, LPCC
Location Address1343 MAGNOLIA AVEModesto, CA 95350-5249
Mailing Address1343 Magnolia AveModesto, CA 95350-5249 · (916) 642-9522 · Fax (916) 234-5056
Phone(916) 642-9522
Fax(916) 234-5056
Sole ProprietorYes
Enumeration DateAugust 21, 2007
Last NPPES UpdateJune 16, 20265 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1366635526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 32391
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1343 MAGNOLIA AVE, Modesto, CA 95350
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Other Names 1

Former Name (1)Mrs. La Tanya Alicia Trailer

Other Identifiers 1

MedicaidCA460541CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. La Tanya Alicia Takla Edd, Lmft, Lpcc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

LA TANYA TAKLA, PSYCHOLOGIST INC
Psychologist (Clinical)
1343 MAGNOLIA AVE
MODESTO, CA 95350
Stanislaus County (916) 642-9522
PATHWAYS TO MENDING FEELINGS PSYCHOTHERAPY TRAINING PROGRAM INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1343 MAGNOLIA AVE
MODESTO, CA 95350
Stanislaus County (916) 642-9522

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 La Tanya Takla's NPI number?

The NPI number for La Tanya Takla is 1366635526. It was assigned to this individual provider in the NPPES registry on August 21, 2007. The provider is also known as Mrs. La Tanya Alicia Trailer.

Where is La Tanya Takla located?

La Tanya Takla practices at 1343 Magnolia Ave, Modesto, CA 95350. The listed phone number is (916) 642-9522.

What is La Tanya Takla's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is La Tanya Takla enrolled in Medicare?

Yes. La Tanya Takla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for La Tanya Takla was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.