Active NPI
Ashley Kristine Chavez, AMFT
- Marriage & Family Therapist
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 123551
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 123551 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriveworks Clinical - California PC | Current | Accepting new patients | |
| Seneca Family of Agencies | Past | 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.
-
- Mental Health Counselor
- Thousand Oaks, CA
- NPI 1801481395
-
- Community/Behavioral Health Agency
- Santa Ana, CA
- NPI 1801174719
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.