Ana P. Champagne, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

51021 Issued in CA

Practice address

1125 E Clark Ave
Suite A3 #4
Santa Maria, CA 93455-5157

Phone

(805) 720-4533

NPI assigned

Jun 22, 2007

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orcutt Marriage and Family Counseling, Inc

  dba Ana Champagne, LMFT

  • Marriage & Family Therapist
  • Santa Maria, CA
  • NPI 1881439974
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1225234685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 HOLLYSPRINGS LN",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555157",
            "telephone_number": "805-720-4533",
            "fax_number": "805-719-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E CLARK AVE",
            "address_2": "SUITE A3 #4",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555157",
            "telephone_number": "805-720-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAGNE",
        "first_name": "ANA",
        "middle_name": "P.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ga Hyun Cha, PHARMD
• Ingrid Ida Chacon, AMFT
• Loretta M Chacon, RMA/AOD/CERT
• Stephany Chacon
• Brent Cham, MD
• Wayne Chan, PSYD
• Ian Chang, D.D.S.
• Jason Chang, O.D.
• Andrew Changala
• Changing Faces Inc

• Marriage & Family Therapist in Santa Maria, CA
• Providers in Santa Maria, 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 Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.