IndividualActive
Tamekia Johnson
NPI 1114648680 · Marriage & Family Therapist · Menlo Park, CA
Provider details
- NPI number
- 1114648680
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 112085 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3705 Haven Ave Ste 112
Menlo Park, CA 94025-1011
Phone: (916) 642-9522
Fax: (916) 678-4138
Street-level locationGet directions
Mailing address
2725 Pavilion Pkwy Apt 1102
Tracy, CA 95304-9491
Additional practice locations (1)
- 901 Mchenry Ave Ste IModesto, CA 95350-5416Phone: (916) 642-9522Fax: (916) 679-4138
Registry dates
- Enumerated
- 2022-09-05
- Last updated
- 2022-09-05
- Certified
- 2021-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.