Cheenou Lo, CBT

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2150 Stockton Blvd
Sacramento, CA 95817-1337

Phone

(828) 781-8819

NPI assigned

Feb 2, 2021

Reactivated

Jul 9, 2021

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Maxim Healthcare Services Inc.

  • Community/Behavioral Health Agency
  • Mountlake Terrace, WA
  • NPI 1477051993
  NPD (past)
• Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Mountlake Terrace, WA
  • NPI 1932206380
  NPD (past)

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1235720194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 EL CAMINO AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216553",
            "telephone_number": "828-781-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171337",
            "telephone_number": "828-781-8819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3336 Bradshaw Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95827",
            "country_code": "US",
            "telephone_number": "916-632-1330",
            "fax_number": "855-568-2494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6021 244th St SW Ste 400",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "980435426",
            "country_code": "US",
            "telephone_number": "425-245-9940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LO",
        "first_name": "CHEENOU",
        "credential": "CBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-02",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "deactivation_date": "2021-06-02",
        "reactivation_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61077541",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Joyce Lloyd
• William C Lloyd, M.D.
• Caitlin Janae Lluen
• LMT 4U Inc.
• Mai Chia Lo Duran
• Davis Lo
• Eleanor Lo, MD
• Jeffrey Lo
• Kanhaleak Lo
• Kongmeng Lo

• Case Manager/Care Coordinator in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.