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LA TISHA LYNN SAN PEDRO-LINTAG LMFT 133780
NPI 1487149407
Marriage & Family Therapist in Pollock Pines, CA

Active since June 22, 2018PECOS Enrolled
3431 SLY PARK RD, POLLOCK PINES, CA 95726(209) 975-7919 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 22, 2022, Apr 23, 2019, Jun 22, 2018 (3 updates tracked since 2018).

About La Tisha Lynn San Pedro-lintag Lmft 133780 NPPES

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

LA TISHA LYNN SAN PEDRO-LINTAG LMFT 133780 (NPI 1487149407) is an individual marriage & family therapist in Pollock Pines, California and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1487149407
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLA TISHA LYNN SAN PEDRO-LINTAGCredential: LMFT 133780
Location Address3431 SLY PARK RDPollock Pines, CA 95726-9520
Mailing AddressPo Box 445Pollock Pines, CA 95726-0445 · (916) 583-4426
Phone(209) 975-7919
Sole ProprietorYes
Enumeration DateJune 22, 2018
Last NPPES UpdateJuly 22, 20223 updates tracked since enumeration
NPPES CertifiedJuly 22, 2022
✔ NPI 1487149407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3431 SLY PARK RD, Pollock Pines, CA 95726
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Secondary Practice Locations 3

Location 13650 Auburn Blvd # C208Sacramento, CA 95821-2069 · Phone (916) 300-6576
Location 2650 Howe Ave Bldg 400-ASacramento, CA 95825-4731 · Phone (916) 517-9672
Location 3307 S B StSan Mateo, CA 94401-4053 · Phone (408) 329-1505

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Tisha Lynn San Pedro-lintag Lmft 133780 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.

Other Providers at the Same Location NPPES

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

INTEGRATIVE MARRIAGE FAMILY AND INDIVIDUAL THERAPY, INCORPORATED
Marriage & Family Therapist
3431 SLY PARK RD
POLLOCK PINES, CA 95726
El Dorado County (530) 206-0335

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 Tisha San Pedro-lintag's NPI number?

The NPI number for La Tisha San Pedro-lintag is 1487149407. It was assigned to this individual provider in the NPPES registry on June 22, 2018.

Where is La Tisha San Pedro-lintag located?

La Tisha San Pedro-lintag practices at 3431 Sly Park Rd, Pollock Pines, CA 95726. The listed phone number is (209) 975-7919.

What is La Tisha San Pedro-lintag's specialty?

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

Is La Tisha San Pedro-lintag enrolled in Medicare?

Yes. La Tisha San Pedro-lintag is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for La Tisha San Pedro-lintag was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.