Individual provider Active NPI

Adilene Amaro Chavez, M.A. LMFT

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1164824785
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
126646 Issued in CA
Practice address
3160 Telegraph Rd Ste 200
Ventura, CA 93003-3250
Phone
(805) 642-4611
Fax
(805) 585-3241
NPI assigned
Sep 25, 2014
Last updated
May 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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 126646 CA Primary

Addresses

Primary practice location

3160 Telegraph Rd Ste 200
Ventura, CA 93003-3250

Mailing address

3160 Telegraph Rd Ste 200
Ventura, CA 93003-3250
Phone (805) 642-4611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319003921 CA Practitioner - Marriage and Family Therapist 3072035906 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
126464CAMDClinical Social Worker
126646CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Behavioral Health Inc Marriage & Family Therapist CurrentSince Jan 11, 2025 Accepting new patients
Beachside Adult and Family Therapy Inc Marriage & Family Therapist CurrentSince Jul 17, 2022 Accepting new patients
Interface Children and Family Services Past Accepting new patients

Locations

993 W 7th St
Oxnard, CA 93030
Phone (805) 483-9565

1500 Palma Dr
Fl 2
Ventura, CA 93003
Phone (805) 284-1783

1500 Palma Dr
Ste 2
Ventura, CA 93003

3160 Telegraph Rd
Ste 200
Ventura, CA 93003
Phone (805) 642-4611

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1164824785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 TELEGRAPH RD STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033250",
            "telephone_number": "805-642-4611",
            "fax_number": "805-585-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 TELEGRAPH RD STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033250",
            "telephone_number": "805-642-4611",
            "fax_number": "805-585-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARO CHAVEZ",
        "first_name": "ADILENE",
        "credential": "M.A. LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "126646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.