Individual provider Active NPI

Anna Selena Cho, PSY.D

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1205212420
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
99936 Issued in CA
Practice address
947 Schooner Dr Unit 202
Ventura, CA 93001-4322
Phone
(310) 880-3825
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 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 99936 CA Primary

Addresses

Primary practice location

947 Schooner Dr Unit 202
Ventura, CA 93001-4322

Mailing address

947 Schooner Dr Unit 202
Ventura, CA 93001-4322
Phone (310) 880-3825

Other practice location 1

169 Pier Ave Ste 2
Santa Monica, CA 90405-5311
Phone (310) 880-3825

Other identifiers 1

IdentifierTypeStateIssuer
83-3420148MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dranna@hearttheory.com Direct

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
I20240827000708 CA Practitioner - Marriage and Family Therapist 1153860895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

947 Schooner Dr
Unit 202
Ventura, CA 93001-4322
Phone (310) 880-3825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99936CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Anna Selena Cho Child and Family Therapist Inc Marriage & Family Therapist CurrentSince Jul 29, 2024 Accepting new patients

Locations

169 Pier Ave
Ste 5
Santa Monica, CA 90405

119 Figueroa St
#10
Ventura, CA 93001

Organizations & group practices 1

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1205212420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 SCHOONER DR UNIT 202",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930014322",
            "telephone_number": "310-880-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 SCHOONER DR UNIT 202",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930014322",
            "telephone_number": "310-880-3825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Pier Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904055311",
            "country_code": "US",
            "telephone_number": "310-880-3825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "ANNA",
        "middle_name": "SELENA",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83-3420148",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dranna@hearttheory.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Email",
            "address_1": "169 Pier Ave Ste 2",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904055311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.