Individual provider Active NPI

Ashley Kristine Chavez, AMFT

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1225596455
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
123551 Issued in CA
Practice address
18221 E 17TH St
Santa Ana, CA 92705
Phone
(714) 730-0930
NPI assigned
Mar 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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 123551 CA Primary

Addresses

Primary practice location

18221 E 17TH St
Santa Ana, CA 92705

Mailing address

18221 E 17TH St
Santa Ana, CA 92705
Phone (714) 730-0930

Other practice location 1

1801 Park Court Pl Bldg H
Santa Ana, CA 92701-5028
Phone (714) 957-1004

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
I20251002002306 CA Practitioner - Mental Health Counselor 7214433838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thriveworks Clinical - California PCGroup PAC ID 1759785645, 55 clinicians

Practice addresses (Care Compare)

731 N Beach Blvd
Suite 140
La Habra, CA 90631-3689
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123551CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - California PC CurrentSince Oct 6, 2025 Accepting new patients
Seneca Family of Agencies PastSince Aug 1, 2019 Accepting new patients

Locations

2020 Milvia St
Ste 200
Berkeley, CA 94704
Phone (209) 689-2669

171 Saxony Rd
Ste 106
Encinitas, CA 92024
Phone (760) 640-0270

2480 Hilborn Rd
Ste 101
Fairfield, CA 94534
Phone (347) 835-8230

18652 Florida St
Ste 245
Huntington Beach, CA 92648
Phone (714) 698-3460

731 N Beach Blvd
Ste 140
La Habra, CA 90631
Phone (562) 303-5925

116 S Catalina Ave
Ste 109
Redondo Beach, CA 90277
Phone (617) 454-4916

815 Hyde St
Ste 301
San Francisco, CA 94109
Phone (415) 292-5477

2025 Forest Ave
Ste 5
San Jose, CA 95128
Phone (209) 689-2669

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

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": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1225596455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18221 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-730-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18221 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-730-0930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Park Court Pl Bldg H",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927015028",
            "country_code": "US",
            "telephone_number": "714-957-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ASHLEY",
        "middle_name": "KRISTINE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.