Provider Type Icon

TRACEY DIANE VAN ETTEN MS AMFT NPI 1801311576


NPI Information

NPI: 1801311576
Provider Name: TRACEY DIANE VAN ETTEN, MS, AMFT
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
21030 MISSION ST STE B
TEHACHAPI, CA
ZIP 93561
Phone: (661) 748-4767
Get Directions

Tracey Diane Van Etten, MS, AMFT is a marriage family therapist in Tehachapi, CA. The provider is 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. Tracey Diane Van Etten, MS, AMFT NPI is 1801311576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21030 MISSION ST STE B
TEHACHAPI, CA
ZIP 93561-769
Phone: (661) 748-4767

The enumeration date for this NPI number is 8/3/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106S00000XBehavior TechnicianNo
2106H00000XMarriage & Family Therapist109289CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.