Active NPI
Doris Chastain, LMFT
- Marriage & Family Therapist
- Huntington Beach, CA
National Provider Identifier
1225434954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 77632
- Practice address
- 1200 Pacific Coast Hwy Apt 317
Huntington Beach, CA 92648-4852 - Phone
- (714) 465-0659
- NPI assigned
- Nov 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 77632 | CA | Primary |
Addresses
Primary practice location
1200 Pacific Coast Hwy Apt 317
Huntington Beach, CA 92648-4852
Mailing address
501 Main St Ste F160
Huntington Beach, CA 92648-8106
Phone (714) 465-0659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 22, 2024 through Nov 22, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77632 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729296000000",
"number": "1225434954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MAIN ST STE F160",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926488106",
"telephone_number": "714-465-0659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 PACIFIC COAST HWY APT 317",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926484852",
"telephone_number": "714-465-0659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASTAIN",
"first_name": "DORIS",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-06",
"last_updated": "2024-10-19",
"certification_date": "2024-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "77632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.