| Tara Diane Pentecost, LMFT | |
|
1478 E Lincoln Ave, Anaheim, CA 92805-2213 | |
| (714) 776-2500 | |
| Not Available |
| Full Name | Tara Diane Pentecost |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 8 Years |
| Location | 1478 E Lincoln Ave, Anaheim, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720868474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 138280 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Moon Senior Counseling Of California Llc | 9335360981 | 79 |
| Entity Name | Blue Moon Senior Counseling of California LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Diane Pentecost, LMFT 6401 E Nohl Ranch Rd Apt 96, Anaheim, CA 92807-4893 Ph: (714) 606-5073 | Tara Diane Pentecost, LMFT 1478 E Lincoln Ave, Anaheim, CA 92805-2213 Ph: (714) 776-2500 |
Dr. Hye Jin Kim, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 321 S State College Blvd, Anaheim, CA 92806 Phone: 714-883-3912 |
Asmeret Hagos, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2035 E Ball Rd Ste 100c, Anaheim, CA 92806 Phone: 714-517-6110 |
Juan Galaviz, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1920 W Corporate Way, Anaheim, CA 92801 Phone: 714-687-6705 |
Ilham Tahir, Couples Therapy Medicare: Medicare Enrolled Practice Location: 2130 W Crescent Ave Apt 2015, Anaheim, CA 92801 Phone: 714-394-6040 |
Ryan Christopher Bain, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 511 N Brookhurst St Ste 200, Anaheim, CA 92801 Phone: 714-222-0282 |
Valanda L German Ii, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 100 N Rob Way # 316, Anaheim, CA 92801 Phone: 714-699-8705 |
Donna K Duane, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 411 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 Fax: 626-405-6768 |