Allyson Pelletier

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

121609 Issued in CA

Practice address

1824 Delaware Street
Huntington Beach, CA 92648

Phone

(714) 680-9000

NPI assigned

Jun 30, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ah Addiction Care of California PC

  • Addiction Medicine (Family Medicine) Physician
  • Sacramento, CA
  • NPI 1144055302
  Medicare reassignment NPD
• Ah Addiction Care PC

  • Addiction Medicine (Family Medicine) Physician
  • Redwood City, CA
  • NPI 1295516128
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1023503133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 ATLANTA AVE # 1034",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 DELAWARE STREET",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92648",
            "telephone_number": "714-680-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "ALLYSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-30",
        "last_updated": "2021-11-10",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121609",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Care Medical Group, Inc.
• Farzin Benjamin Pedouim, M.D.
• Johnnie Peeples Jr., CATC- I COUNSELOR
• Scott M Peifer, DDS
• Kimberly Peirson, M.D.
• Charles Craig Pelletier, D.D.S.
• Karissa Pelman
• Brian David Pena
• Lorenzo V Pena, PPS
• Melinda Pena

• Marriage & Family Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.