Active NPI
Chelsea Simon
- Marriage & Family Therapist
- Richmond, CA
National Provider Identifier
1053772665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 121861
- Practice address
- 3000 Parker Rd RM 20
Richmond, CA 94806-2742 - Phone
- (510) 231-1100
- NPI assigned
- Mar 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 121861 | CA | Primary |
| School Psychologist | 103TS0200X | 240287044 | CA |
Addresses
Primary practice location
3000 Parker Rd RM 20
Richmond, CA 94806-2742
Mailing address
5556 Taft Ave
Oakland, CA 94618-1519
Phone (951) 316-4196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240287044 | CA | MD | School Psychologist |
| 121861 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1053772665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5556 TAFT AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181519",
"telephone_number": "951-316-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 PARKER RD RM 20",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948062742",
"telephone_number": "510-231-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "CHELSEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-09",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "121861",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "240287044",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.