Individual provider Active NPI

Camille Canales, LMFT

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1154076487
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
144498 Issued in CA
Practice address
691 Maraglia St Ste a
Redding, CA 96002-1029
Phone
(530) 338-1229
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 144498 CA Primary

Addresses

Primary practice location

691 Maraglia St Ste a
Redding, CA 96002-1029

Mailing address

3128 Redondo CT
Redding, CA 96003-5397
Phone (530) 338-1229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of Tehama County Marriage & Family Therapist PastSince Oct 28, 2025 Accepting new patients
Docs Medical Group Inc PastSince Jun 16, 2024 Accepting new patients
Pacific Health Care Group Inc PastSince Jun 16, 2024 Accepting new patients

Organizations & group practices 3

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": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1154076487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 REDONDO CT",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960035397",
            "telephone_number": "530-338-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 MARAGLIA ST STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021029",
            "telephone_number": "530-338-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALES",
        "first_name": "CAMILLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "144498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.