Katie Ann Champieux

Key facts

NPI

1245954205

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

133324 (CA)

Practice address

671 Imperial Dr
Pacifica, CA 94044-1754

Phone

(415) 948-1737

NPI assigned

Oct 3, 2022

Sex

Female

Sole proprietor

No

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.

• Mending Souls Marriage & Family Therapist · Glendale, CA · NPI 1023551744
  NPD
• Mending Souls Marriage & Family Therapist · Glendale, CA · NPI 1801669205
  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 6, 2025.

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1245954205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 IMPERIAL DR",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940441754",
            "telephone_number": "415-948-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 IMPERIAL DR",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940441754",
            "telephone_number": "415-948-1737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Central Ave # 310",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912022937",
            "country_code": "US",
            "telephone_number": "818-724-9770",
            "fax_number": "818-484-2991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMPIEUX",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "133324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacifica, CA

• Joseph Calvo
• Sandra Carson, MFTI 65138
• Kyle Joseph Celio, MFT
• Leah Judith Chalofsky
• Rebecca Kaplan Chambliss, FNP-C
• Nancy C Chan, R. PH.
• Alexandra N. Chase
• Hazel Chavarria
• Tania Sirzareth Chavarria
• Jenn Chen, RDH

All providers in Pacifica, CA · Mental Health Counselor in California