Jeanie Marie Chavez, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC39590 Issued in CA

Practice address

1370 Valley Vista Dr
Suite 104
Diamond Bar, CA 91765-3911

Phone

(909) 860-2166

Fax

(909) 963-9543

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jeanie Marie Kieley-Chavez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Tammy a Ouellette Psy.D. Apc

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  • Fullerton, CA
  • NPI 1528246394
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194842658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W ROUTE 66 STE 202",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404335",
            "telephone_number": "909-860-2166",
            "fax_number": "909-963-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 VALLEY VISTA DR",
            "address_2": "SUITE 104",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653911",
            "telephone_number": "909-860-2166",
            "fax_number": "909-963-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "JEANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANIE",
            "last_name": "KIELEY-CHAVEZ",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Vorya Chanim
• Connie Chao
• Riley Charles, DPT
• Colleen Chau, DPT
• Mary Anne Abarientos Chau
• Ella Chen, D.D.S.
• Ellen Nai-Yu Chen, D.D.S.
• Jessica Joan Chen, PT, DPT
• Jing Chen, M.D.
• Lina Chen, OT

• Marriage & Family Therapist in Diamond Bar, CA
• Providers in Diamond Bar, 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 Jul 8, 2007; 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.