Chelsea Vanicek, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95022793 Issued in CA

Practice address

1752 S Victoria Ave Ste 250
Ventura, CA 93003-6152

Phone

(805) 650-3880

NPI assigned

Oct 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 5, 2026 through Jun 5, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lee D. Mendiola MD PC

  • Psychiatry Physician
  • Ventura, CA
  • NPI 1447343710
  NPD (past)

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1124744123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S HARVARD BLVD APT 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054263",
            "telephone_number": "224-703-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 S VICTORIA AVE STE 250",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036152",
            "telephone_number": "805-650-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANICEK",
        "first_name": "CHELSEA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95022793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Van Sant, D.O.
• Kimberly Nicole Van Velzen, MFT
• Melissa Mae Vanderburg, RN, BSN
• Kella Louise Vangsness, DO, MS
• John Patrick Vanhouten, MD
• Mario Vargas-Vila, MD, PHD
• Esteban Vargas
• Matilde Vargas, LCSW
• Mauricio Enrique Vargas, M.D.
• Oskar Vargas

• Psychiatric/Mental Health Nurse Practitioner in Ventura, CA
• Providers in Ventura, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.