MRS. TANDREA THYSELL
NPI 1457863516
Marriage & Family Therapist in Stockton, CA

Q: What is Tandrea Thysell's NPI number?

The NPI number for Tandrea Thysell is 1457863516. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Q: What is Tandrea Thysell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tandrea Thysell was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since October 30, 2017PECOS Enrolled

1833 W MARCH LN STE 6, STOCKTON, CA 95207(209) 954-1311 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2025, Jul 8, 2020, Oct 30, 2017 (3 updates tracked since 2017).

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About Mrs. Tandrea Thysell NPPES

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

MRS. TANDREA THYSELL (NPI 1457863516) is an individual marriage & family therapist in Stockton, California, licensed in California (LMFT157207) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1457863516

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. TANDREA THYSELL

Location Address1833 W MARCH LN STE 6Stockton, CA 95207-6415

Mailing Address4719 Quail Lakes Dr Ste GStockton, CA 95207-5267 · (209) 594-2765

Phone(209) 954-1311

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 30, 2017

Last NPPES UpdateDecember 12, 20253 updates tracked since enumeration

NPPES CertifiedDecember 12, 2025

✔ NPI 1457863516 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 · LMFT157207

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.

1833 W MARCH LN STE 6, Stockton, CA 95207

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tandrea Thysell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072008903

PECOS Enrollment IDI20251218002072

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.

Other Providers at the Same Location NPPES 8

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

STEFANIE RIOS

Marriage & Family Therapist