Individual provider Active NPI

Chelsea Rose Pires, MFTI

  • Marriage & Family Therapist
  • Grass Valley, CA
National Provider Identifier
1255799060
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF74588 Issued in CA
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
IMF74588CAMDMental 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.

Verify at the official NPI Registry.