Active NPI
Chelsea Rose Pires, MFTI
- Marriage & Family Therapist
- Grass Valley, CA
National Provider Identifier
1255799060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF74588
- Practice address
- 101 W McKnight Way
Ste B307
Grass Valley, CA 95949-9613 - Phone
- (323) 854-1729
- NPI assigned
- Feb 8, 2016
- Last updated
- Feb 25, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF74588 | CA | |
| Marriage & Family Therapist | 106H00000X | IMF74588 | CA | Primary |
Addresses
Primary practice location
101 W McKnight Way
Ste B307
Grass Valley, CA 95949-9613
Mailing address
101 W McKnight Way
Ste B307
Grass Valley, CA 95949-9613
Phone (323) 854-1729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF74588 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1255799060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W MCKNIGHT WAY",
"address_2": "STE B307",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959499613",
"telephone_number": "323-854-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W MCKNIGHT WAY",
"address_2": "STE B307",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959499613",
"telephone_number": "323-854-1729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIRES",
"first_name": "CHELSEA",
"middle_name": "ROSE",
"credential": "MFTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF74588",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF74588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.