CMS-1500 Box 24J / 33a • NPI
1073924007
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
106H00000X (CMS E1)
Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist
Box 32 Service Location & ZIP+4
508 ALABAMA ST, VALLEJO, CA, 94590-4446
✓ 9-Digit EDI 837 ZIP+4 (94590-4446)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1073924007 (MYEASA ALLEN, LMFT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1073924007 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MYEASA ALLEN, LMFT |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist NUCC Code: 106H00000X (Marriage & Family Therapist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 508 ALABAMA ST, VALLEJO, CA, 94590-4446 |
| Practice Telephone / Fax | Tel: (707) 515-7186 |
| Administrative Mailing Address | 196 GLENWOOD, HERCULES, CA, 94547-3566 |
| Enumeration & Last Sync | Enumerated: 2014-05-13 | CMS Record Updated: 2025-09-19 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (106H00000X)
What Does Taxonomy Code 106H00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 106H00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MYEASA ALLEN, LMFT)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101YM0800X — Counselor, Mental HealthPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: N/A | License: Verified | Primary: Secondary |
101Y00000X — CounselorPlain English: Licensed & Credentialed Counselor | State: N/A | License: Verified | Primary: Secondary |
172V00000X — Community Health WorkerPlain English: Licensed & Credentialed Community Health Worker | State: N/A | License: Verified | Primary: Secondary |
106S00000X — Behavior TechnicianPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Technician | State: N/A | License: Verified | Primary: Secondary |
106H00000X — Marriage & Family TherapistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist | State: CA | License: 151008 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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