Ingrid Ida Chacon, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

151226 Issued in CA

Practice address

212 Carmen LN
Santa Maria, CA 93458-7769

Phone

(805) 212-7680

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1093593477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 E BRANCH ST",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202804",
            "telephone_number": "951-599-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587769",
            "telephone_number": "805-212-7680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29970 Technology Dr",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925632645",
            "country_code": "US",
            "telephone_number": "951-900-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHACON",
        "first_name": "INGRID",
        "middle_name": "IDA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "151226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cep America - California
• Cep America - Psychiatry PC
• Joshua Cervantes
• Lashmey Cervantes
• Ga Hyun Cha, PHARMD
• Loretta M Chacon, RMA/AOD/CERT
• Stephany Chacon
• Brent Cham, MD
• Ana P. Champagne, LMFT
• Wayne Chan, PSYD

• Marriage & Family Therapist in Santa Maria, CA
• Providers in Santa Maria, 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 Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.