Nancy Jeanne Bates, M.S.,MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC40384 Issued in CA

Practice address

484 Mobil Ave
Suite 13
Camarillo, CA 93010-6303

Phone

(805) 279-1996

NPI assigned

Apr 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Nancy Jeanne Clark Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 13, 2025 through Mar 13, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043435209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3991 COLONETT PL",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202849",
            "telephone_number": "805-279-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 MOBIL AVE",
            "address_2": "SUITE 13",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106303",
            "telephone_number": "805-279-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "NANCY",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S.,MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC40384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "CLARK",
            "middle_name": "JEANNE",
            "prefix": "MRS.",
            "credential": "M.S.,MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Charles Bartlett
• Mary Barukh
• Basso Pharmacy, Inc
• Bates Chiropractic, PC
• Aaron Christopher Bates, D.C.
• Elise Michele Baumann
• Ernesto Osuna Bautista
• Gloria Bautista
• Richard Joel Bautista
• Lenier Sean Baxter

• Marriage & Family Therapist in Camarillo, CA
• Providers in Camarillo, 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 Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.