Individual provider Active NPI

Chelsea Reid

  • Marriage & Family Therapist
  • Pleasant Hill, CA
National Provider Identifier
1407387103
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
110935 Issued in CA
Practice address
3480 Buskirk Ave Ste 210
Pleasant Hill, CA 94523-4304
Phone
(925) 933-2627
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 106H00000X
Marriage & Family Therapist 106H00000X 110935 CA Primary

Addresses

Primary practice location

3480 Buskirk Ave Ste 210
Pleasant Hill, CA 94523-4304

Mailing address

3480 Buskirk Ave Ste 210
Pleasant Hill, CA 94523-4304
Phone (925) 933-2627

Other practice location 1

682 Knight Dr
Benicia, CA 94510-3753
Phone (707) 334-3908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

673 S Auburn St
Suite B
Grass Valley, CA 95945-7576

673 S Auburn St B
Grass Valley, CA 95945-7576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1407387103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 BUSKIRK AVE STE 210",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234304",
            "telephone_number": "925-933-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 BUSKIRK AVE STE 210",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234304",
            "telephone_number": "925-933-2627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "682 Knight Dr",
            "address_purpose": "LOCATION",
            "city": "Benicia",
            "state": "CA",
            "postal_code": "945103753",
            "country_code": "US",
            "telephone_number": "707-334-3908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "CHELSEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "106H00000X",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

Verify at the official NPI Registry.