Active NPI
Kitty Chelton MFT
- Community/Behavioral Health Agency
- Sebastopol, CA
National Provider Identifier
1053703967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MFT30322
- Legal business name
- KITTY CHELTON MFT
- Practice address
- 7765 Healdsburg Ave Ste 12
Sebastopol, CA 95472-3355 - Phone
- (707) 823-8203
- NPI assigned
- Mar 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kitty Chalmers Chelton, MFT
- Title
- Owner
- Phone
- (707) 823-8203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MFT30322 | CA | Primary |
Addresses
Primary practice location
7765 Healdsburg Ave Ste 12
Sebastopol, CA 95472-3355
Mailing address
7765 Healdsburg Ave Ste 12
Sebastopol, CA 95472-3355
Phone (707) 823-8203
National Provider Directory
National Provider DirectoryLocations
7765 Healdsburg Ave
Ste 12
Sebastopol, CA 95472
Phone (707) 486-2947
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Sebastopol, CA
- NPI 1497381545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425254400000",
"number": "1053703967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7765 HEALDSBURG AVE STE 12",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954723355",
"telephone_number": "707-823-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7765 HEALDSBURG AVE STE 12",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954723355",
"telephone_number": "707-823-8203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KITTY CHELTON MFT",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-02",
"last_updated": "2015-03-02",
"status": "A",
"authorized_official_last_name": "CHELTON",
"authorized_official_first_name": "KITTY",
"authorized_official_middle_name": "CHALMERS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-823-8203",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "MFT30322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.