Active NPI
Daniella Cherise Pavone, MA, LMFT
- Marriage & Family Therapist
- Redding, CA
National Provider Identifier
1417627290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 143032
- Practice address
- 2135 Pine St
Redding, CA 96001-2690 - Phone
- (530) 276-0624
- NPI assigned
- Sep 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 143032 | CA | Primary |
Addresses
Primary practice location
2135 Pine St
Redding, CA 96001-2690
Mailing address
PO Box 491750
Redding, CA 96049-1750
Phone (530) 722-9957
Other practice location 1
1170 Industrial St
Redding, CA 96002-0734
Phone (530) 722-9957
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1170 Industrial St
Redding, CA 96002-0734
Phone (530) 722-9957
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pavone Family Therapy, Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Creekside Counseling Center Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Medical Social Services Consultation, Inc | Past | Accepting new patients |
Locations
2135 Pine St
Redding, CA 96001
Phone (530) 276-0624
1170 Industrial St
Redding, CA 96002
Phone (530) 722-9957
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.
-
- Marriage & Family Therapist
- Redding, CA
- NPI 1194750547
-
- Marriage & Family Therapist
- Redding, CA
- NPI 1760319016
-
- Case Management Agency
- Redding, CA
- NPI 1063771608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1417627290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 491750",
"city": "REDDING",
"state": "CA",
"postal_code": "960491750",
"telephone_number": "530-722-9957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 PINE ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960012690",
"telephone_number": "530-276-0624"
}
],
"practiceLocations": [
{
"address_1": "1170 Industrial St",
"address_purpose": "LOCATION",
"city": "Redding",
"state": "CA",
"postal_code": "960020734",
"country_code": "US",
"telephone_number": "530-722-9957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAVONE",
"first_name": "DANIELLA",
"middle_name": "CHERISE",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-14",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "143032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.