Dr La Tanya Alicia Takla, EDD, LMFT, LPCC in Modesto, CA

Dr La Tanya Alicia Takla, EDD, LMFT, LPCC is a medicare enrolled "Psychologist - Clinical" provider in Modesto, California. Her current practice location is 1343 Magnolia Ave, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (916) 642-9522.

Dr La Tanya Alicia Takla is licensed to practice in California (license number 32391) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366635526.

Contact Information

	Dr La Tanya Alicia Takla, EDD, LMFT, LPCC
	1343 Magnolia Ave, Modesto, CA 95350-5249
	(916) 642-9522
	(916) 234-5056

Map and Direction

Healthcare Provider's Profile

Full Name	Dr La Tanya Alicia Takla
Gender	Female
Speciality	Psychologist - Clinical
Location	1343 Magnolia Ave, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366635526
Provider Enumeration Date: 08/21/2007
Last Update Date: 06/16/2026

Medicare PECOS Information:

PECOS PAC ID: 1951586262
Enrollment ID: I20210412000928

Medical Identifiers

Medical identifiers for Dr La Tanya Alicia Takla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366635526	NPI	-	NPPES
CA460541	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	32391 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr La Tanya Alicia Takla allows following entities to bill medicare on her behalf.

Entity Name	La Tanya Takla, Psychologist Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336819564 PECOS PAC ID: 4789062290 Enrollment ID: O20220610002029

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr La Tanya Alicia Takla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr La Tanya Alicia Takla, EDD, LMFT, LPCC 1343 Magnolia Ave, Modesto, CA 95350-5249 Ph: (916) 642-9522	Dr La Tanya Alicia Takla, EDD, LMFT, LPCC 1343 Magnolia Ave, Modesto, CA 95350-5249 Ph: (916) 642-9522

Reviews and Comments

Psychologist in Modesto, CA

Dr. Kurt Dayne Baker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4125 Bangs Ave, Modesto, CA 95356 Phone: 209-557-2300
Dr. Elizabeth Marshall Swearingen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1518 Coffee Rd, Ste. C, Modesto, CA 95355 Phone: 209-577-4059 Fax: 209-572-2469
Dr. Marlene Cresci Cohen, PHD, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1015 12th St, Modesto, CA 95354 Phone: 209-522-2992 Fax: 209-522-2993
Dr. James Oral Henman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 706 13th St, Modesto, CA 95354 Phone: 209-577-1667 Fax: 209-577-3805
Mary Ly Vasche, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 426 Locust St, Modesto, CA 95351 Phone: 209-574-1500
Juliana Torres, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 426 Locust St, Modesto, CA 95351 Phone: 209-574-1500
Marisol Ramirez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 426 Locust St, Modesto, CA 95351 Phone: 209-985-5237

Dr La Tanya Alicia Takla, EDD, LMFT, LPCC - Medicare Psychologist in Modesto, CA