Individual provider Active NPI

Katharine Lively, MFT

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1275980609
Registry record updated Jul 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC41479 Issued in CA
Practice address
572 Rio Lindo Ave Ste 203
Chico, CA 95926-1851
Phone
(530) 680-0849
NPI assigned
May 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC41479 CA Primary

Addresses

Primary practice location

572 Rio Lindo Ave Ste 203
Chico, CA 95926-1851

Mailing address

572 Rio Lindo Ave Ste 203
Chico, CA 95926-1851
Phone (530) 680-0849

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106003551 CA Practitioner - Marriage and Family Therapist 8426582958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

572 Rio Lindo Ave
Suite 203
Chico, CA 95926-1851
Phone (530) 680-0849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC41479CAMDMarriage & Family Therapist
41479CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lively Family Therapy Inc Marriage & Family Therapist CurrentSince Dec 12, 2023 Accepting new patients

Locations

572 Rio Lindo Ave
Ste 203
Chico, CA 95926
Phone (530) 680-0849

80 Independence Cir
Ste 220
Chico, CA 95973
Phone (530) 513-4208

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688860800000",
    "number": "1275980609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 RIO LINDO AVE STE 203",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261851",
            "telephone_number": "530-680-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 RIO LINDO AVE STE 203",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261851",
            "telephone_number": "530-680-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELY",
        "first_name": "KATHARINE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.