MR. TAKYI DWUMFUOH LMFT 103566
NPI 1639486566
Marriage & Family Therapist in Fairfield, CA

Active since September 14, 2010PECOS Enrolled
675 TEXAS ST STE 3800, FAIRFIELD, CA 94533(707) 784-2228 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2023, Dec 11, 2017 (2 updates tracked since 2017).

About Mr. Takyi Dwumfuoh Lmft 103566 NPPES

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

MR. TAKYI DWUMFUOH LMFT 103566 (NPI 1639486566) is an individual marriage & family therapist in Fairfield, California, licensed in California (103566) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1639486566
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. TAKYI DWUMFUOHCredential: LMFT 103566
Location Address675 TEXAS ST STE 3800Fairfield, CA 94533-6372
Mailing Address675 Texas StFairfield, CA 94533-6372 · (707) 784-4732
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 14, 2010
Last NPPES UpdateJune 5, 20232 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1639486566 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 · 103566
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.
675 TEXAS ST STE 3800, Fairfield, CA 94533

Other Names 1

Former Name (1)Mr. Takyi Dwumfuoh Imf

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Takyi Dwumfuoh Lmft 103566 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577035435
PECOS Enrollment IDI20260611003937
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.

Medicare Billing Reassignment

Medicare enrollment records show Takyi Dwumfuoh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
2201 COURAGE DRIVE
Fairfield, CA 94533
  • Reassigned Medicare billing, California enrollment
  • 73 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 6

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

Social Worker
675 TEXAS ST STE 3800
FAIRFIELD, CA 94533
Marriage & Family Therapist
675 TEXAS ST STE 3800
FAIRFIELD, CA 94533
Adult Companion
675 TEXAS ST STE 3800
FAIRFIELD, CA 94533
Rehabilitation Practitioner
675 TEXAS ST STE 3800
FAIRFIELD, CA 94533
Social Worker
675 TEXAS ST STE 3800
FAIRFIELD, CA 94533
Social Worker
675 TEXAS ST STE 3800
FAIRFIELD, CA 94533

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 Takyi Dwumfuoh's NPI number?

The NPI number for Takyi Dwumfuoh is 1639486566. It was assigned to this individual provider in the NPPES registry on September 14, 2010. The provider is also known as Mr. Takyi Dwumfuoh Imf.

Where is Takyi Dwumfuoh located?

Takyi Dwumfuoh practices at 675 Texas St Ste 3800, Fairfield, CA 94533. The listed phone number is (707) 784-2228.

What is Takyi Dwumfuoh's specialty?

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

Is Takyi Dwumfuoh enrolled in Medicare?

Yes. Takyi Dwumfuoh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Takyi Dwumfuoh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Takyi Dwumfuoh reassigns Medicare benefits to County Of Solano (Fairfield, CA). The 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 Takyi Dwumfuoh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Takyi Dwumfuoh was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.