LITSA RENEE TANNER MS, MFT
NPI 1437204716
Marriage & Family Therapist in Santa Rosa, CA

Active since January 24, 2007Opted out of Medicare · through Feb 5, 2028
319 S E ST STE B, SANTA ROSA, CA 95404(707) 694-8316 Get Directions Write a Review

NPPES record last updated: April 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Litsa Renee Tanner Ms, Mft NPPES

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

LITSA RENEE TANNER MS, MFT (NPI 1437204716) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (MFC44119) and active in the NPI registry since January 2007. She has opted out of Medicare through February 5, 2028.

NPPES Registry Identity

NPI1437204716
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLITSA RENEE TANNERCredential: MS, MFT
Location Address319 S E ST STE BSanta Rosa, CA 95404-5132
Mailing AddressPo Box 393Santa Rosa, CA 95402-0393 · (707) 694-8316
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateApril 7, 2009
NPI 1437204716 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 · MFC44119
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.
319 S E ST STE B, Santa Rosa, CA 95404

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Litsa Renee Tanner Ms, 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 February 5, 2024 through February 5, 2028.

Opt-Out Effective DateFebruary 5, 2024
Opt-Out In Effect ThroughFebruary 5, 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 Litsa Tanner's NPI number?

The NPI number for Litsa Tanner is 1437204716. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Litsa Tanner located?

Litsa Tanner practices at 319 S E St Ste B, Santa Rosa, CA 95404. The listed phone number is (707) 694-8316.

What is Litsa Tanner's specialty?

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

Is Litsa Tanner enrolled in Medicare?

No. Litsa Tanner has opted out of Medicare through February 5, 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 Litsa Tanner was last updated on April 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.