SAN DIEGO MEDICAL PAIN AND TRAMA INSTITUTE
NPI 1629692397
Marriage & Family Therapist in San Diego, CA

Active since May 29, 2020
5405 MOREHOUSE DR STE 120, SAN DIEGO, CA 92121(442) 777-2040(858) 408-4494 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 25, 2021, May 29, 2020 (2 updates tracked since 2020).

About San Diego Medical Pain And Trama Institute NPPES

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

SAN DIEGO MEDICAL PAIN AND TRAMA INSTITUTE (NPI 1629692397) is a healthcare organization registered as a marriage & family therapist in San Diego, California and active in the NPI registry since May 2020. The organization lists Tracey Lynn Chester, Founder/clinical Director, as its authorized official.

NPPES Registry Identity

NPI1629692397
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameTLC FAMILY THERAPY CORP
Location Address5405 MOREHOUSE DR STE 120San Diego, CA 92121-4723
Mailing Address5965 Village Way. Suite 105 #112San Diego, CA 92130 · (442) 777-2040 · Fax (858) 408-4494
Fax(858) 408-4494
Organization SubpartNo
Authorized OfficialTracey Lynn ChesterFounder/clinical Director · (858) 531-3795
Enumeration DateMay 29, 2020
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1629692397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5405 MOREHOUSE DR STE 120, San Diego, CA 92121

Other Names 2

Doing Business AsSan Diego Medical Pain And Trama Institute
Doing Business AsTlc Family Therapy Corp

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Diego Medical Pain And Trama Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to San Diego Medical Pain And Trama Institute, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marriage and Family Therapist
NPI 1740549658
4492 VEREDA MAR DE PONDEROSA
San Diego, CA 92130
(858) 531-3795
✔ PECOS✔ Accepts Medicare2.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tlc Family Therapy Corp's NPI number?

The NPI number for Tlc Family Therapy Corp is 1629692397. It was assigned to this organization in the NPPES registry on May 29, 2020. The provider is doing business as San Diego Medical Pain And Trama Institute.

Where is Tlc Family Therapy Corp located?

Tlc Family Therapy Corp is located at 5405 Morehouse Dr Ste 120, San Diego, CA 92121. The listed phone number is (442) 777-2040.

What is Tlc Family Therapy Corp's specialty?

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

Is Tlc Family Therapy Corp enrolled in Medicare?

Yes. Tlc Family Therapy Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tlc Family Therapy Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Tlc Family Therapy Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tlc Family Therapy Corp was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.