Individual provider Active NPI

Macy Chapman, LMFT, LPCC

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1063907392
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121872 Issued in CA
Practice address
1146 Soquel Ave Unit 4071
Santa Cruz, CA 95063-1085
Phone
(831) 222-0455
NPI assigned
Jun 28, 2018
Reactivated
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 121872 CA Primary
Professional Counselor 101YP2500X CA

Addresses

Primary practice location

1146 Soquel Ave Unit 4071
Santa Cruz, CA 95063-1085

Mailing address

1146 Soquel Ave Unit 4071
Santa Cruz, CA 95063-1085
Phone (831) 222-0455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 6, 2024 through May 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121872CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Licensed Professional Clinical Counselor and Family Therapy Mental Health CurrentSince Nov 3, 2024 Accepting new patients

Locations

1146 Soquel Ave
Unit 4071
Santa Cruz, CA 95063
Phone (831) 222-0455

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1063907392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 SOQUEL AVE UNIT 4071",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950631085",
            "telephone_number": "831-222-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 SOQUEL AVE UNIT 4071",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950631085",
            "telephone_number": "831-222-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "MACY",
        "name_prefix": "Ms.",
        "credential": "LMFT, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "deactivation_date": "2018-09-28",
        "reactivation_date": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121872",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.