Individual provider Active NPI

Colleen Rene Hayes, LMFT

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1417225616
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1530 Humboldt Rd Ste 1a
Chico, CA 95928-9196
Phone
(808) 989-2146
NPI assigned
Dec 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 Primary

Addresses

Primary practice location

1530 Humboldt Rd Ste 1a
Chico, CA 95928-9196

Mailing address

PO Box 1263
Chico, CA 95927-1263
Phone (808) 989-2146

Other practice location 1

1430 East Ave Ste 2B
Chico, CA 95926-1629
Phone (808) 989-2146

Other practice location 2

2505 Valhalla Pl Ste 110
Chico, CA 95973-8276
Phone (530) 520-1333

Other practice location 3

1530 Humboldt Rd # 95928
Chico, CA 95928-9196
Phone (808) 989-2146

Other names 1

  • Colleen Peterson Former name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90137CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Butte CurrentSince Jan 1, 2024 Accepting new patients
County of Butte Current Accepting new patients
County of Butte CurrentSince Jan 1, 2024 Accepting new patients

Locations

3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578

995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305

Organizations & group practices 3

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": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1417225616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1263",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959271263",
            "telephone_number": "808-989-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 HUMBOLDT RD STE 1A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289196",
            "telephone_number": "808-989-2146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 East Ave Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959261629",
            "country_code": "US",
            "telephone_number": "808-989-2146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2505 Valhalla Pl Ste 110",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959738276",
            "country_code": "US",
            "telephone_number": "530-520-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1530 Humboldt Rd # 95928",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959289196",
            "country_code": "US",
            "telephone_number": "808-989-2146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "COLLEEN",
        "middle_name": "RENE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "PETERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.