Organization Active NPI

Neurosoma Mental Health Group

  • Mental Health Counselor
  • Simi Valley, CA
National Provider Identifier
1407763501
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NEUROSOMA MENTAL HEALTH GROUP
Practice address
225 Simi Village Dr # 940224
Simi Valley, CA 93065-7426
Phone
(805) 539-7838
NPI assigned
Aug 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Mrs. Chiconia C Anderson, LMFT
Title
Owner/Ceo
Phone
(805) 539-7838

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X

Addresses

Primary practice location

225 Simi Village Dr # 940224
Simi Valley, CA 93065-7426

Mailing address

225 Simi Village Dr # 940224
Simi Valley, CA 93065-7426
Phone (805) 539-7838

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1407763501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SIMI VILLAGE DR # 940224",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930657426",
            "telephone_number": "805-539-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SIMI VILLAGE DR # 940224",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930657426",
            "telephone_number": "805-539-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSOMA MENTAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHICONIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "805-539-7838",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.