Talissa Arleen Camacho-Sepulveda

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT106031 Issued in CA

Practice address

1196 3Rd Ave
Chula Vista, CA 91911-3131

Phone

(619) 427-4661

NPI assigned

Mar 6, 2007

Last updated

Jul 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spicy Family Counseling Center Inc.

  • Marriage & Family Therapist
  • Chula Vista, CA
  • NPI 1174336929
  NPD Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1356471866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1196 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113131",
            "telephone_number": "619-427-4661",
            "fax_number": "619-426-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1196 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113131",
            "telephone_number": "619-427-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO-SEPULVEDA",
        "first_name": "TALISSA",
        "middle_name": "ARLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT106031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Callanta
• James Callaway
• Carlynne Rivera Calleros, FNP-BC
• Christine Chua Calma, PA
• Cynthia Caluza, FNP
• Alexis Camacho
• Evelyn Camacho
• Roberto Anthony Camacho
• Charles A Camarata, MD
• Kassandra Camarillo

• Marriage & Family Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.