TAMARA LYNN KUBIAK LMFT
NPI 1417513326
Marriage & Family Therapist in Costa Mesa, CA

Active since May 15, 2019Opted out of Medicare · through Jan 9, 2028
2900 BRISTOL ST STE G201, COSTA MESA, CA 92626(949) 445-3160 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tamara Lynn Kubiak Lmft NPPES

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

TAMARA LYNN KUBIAK LMFT (NPI 1417513326) is an individual marriage & family therapist in Costa Mesa, California, licensed in California (100389) and active in the NPI registry since May 2019. She has opted out of Medicare through January 9, 2028.

NPPES Registry Identity

NPI1417513326
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTAMARA LYNN KUBIAKCredential: LMFT
Location Address2900 BRISTOL ST STE G201Costa Mesa, CA 92626-7914
Mailing Address413 Flower StCosta Mesa, CA 92627-2311 · (949) 887-8020
Sole ProprietorYes
Enumeration DateMay 15, 2019
NPI 1417513326 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 · 100389
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.
2900 BRISTOL ST STE G201, Costa Mesa, CA 92626

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Tamara Lynn Kubiak Lmft 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 9, 2024 through January 9, 2028.

Opt-Out Effective DateJanuary 9, 2024
Opt-Out In Effect ThroughJanuary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
2900 BRISTOL ST STE G201
COSTA MESA, CA 92626
Marriage & Family Therapist
2900 BRISTOL ST STE G201
COSTA MESA, CA 92626
Marriage & Family Therapist
2900 BRISTOL ST STE G201
COSTA MESA, CA 92626
Clinic/Center (Mental Health (Including Community Mental Health Center))
2900 BRISTOL ST STE G201
COSTA MESA, CA 92626

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 Kubiak's NPI number?

The NPI number for Tamara Kubiak is 1417513326. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Where is Tamara Kubiak located?

Tamara Kubiak practices at 2900 Bristol St Ste G201, Costa Mesa, CA 92626. The listed phone number is (949) 445-3160.

What is Tamara Kubiak's specialty?

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

Is Tamara Kubiak enrolled in Medicare?

No. Tamara Kubiak has opted out of Medicare through January 9, 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 Tamara Kubiak was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.