Individual provider Active NPI

Nicole Irene Chess, LMFT

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1194020206
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT92348 Issued in CA
Practice address
748 N Market St
Redding, CA 96003
Phone
(530) 338-0087
NPI assigned
Jan 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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
Marriage & Family Therapist 106H00000X LMFT92348 CA Primary

Addresses

Primary practice location

748 N Market St
Redding, CA 96003

Mailing address

748 N Market St
Redding, CA 96003-3606
Phone (530) 338-0087

Other practice location 1

74333 Highway 111
Palm Desert, CA 92260-4142
Phone (760) 797-5151

Other practice location 2

43585 Monterey Ave Ste 1
Palm Desert, CA 92260-9398
Phone (760) 777-7720

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
I20260527002072 CA Practitioner - Marriage and Family Therapist 8921578329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 602060
San Diego, CA 92160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT92348CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Marriage and Family Counseling Inc Marriage & Family Therapist PastSince Oct 20, 2019 Accepting new patients
Desert Marriage Family Counseling Inc PastSince Oct 20, 2019 Accepting new patients
Dunamis Center Incorporated Marriage & Family Therapist PastSince Aug 1, 2020 Accepting new patients
NPI 1578052379 Past Accepting new patients

Organizations & group practices 6

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": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1194020206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 N MARKET ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033606",
            "telephone_number": "530-338-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 N MARKET ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96003",
            "telephone_number": "530-338-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74333 Highway 111",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922604142",
            "country_code": "US",
            "telephone_number": "760-797-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43585 Monterey Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922609398",
            "country_code": "US",
            "telephone_number": "760-777-7720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHESS",
        "first_name": "NICOLE",
        "middle_name": "IRENE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT92348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.