Lacey M Chamblin, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT97451 Issued in CA

Practice address

1240 Shane LN
Templeton, CA 93465-3614

Phone

(805) 610-9298

NPI assigned

Aug 10, 2009

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

Enrolled in CA

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.

Enrollment records 1

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 and National Provider Directory roles.

• Memory Check Psychological Services, a Professional Corporation

  • Clinical Psychologist
  • Carlsbad, CA
  • NPI 1912184219

  CA

  Medicare reassignment NPD
• Alexann Calabash Masiko-Meyer Summer Sessions Counseling

  • Mental Health Counselor
  • San Luis Obispo, CA
  • NPI 1841919073

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1457583445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 SHANE LN",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934653614",
            "telephone_number": "805-610-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 SHANE LN",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934653614",
            "telephone_number": "805-610-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLIN",
        "first_name": "LACEY",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT97451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Coast Radiology Medical Group Inc
• Central Coast Vision and Learning
• Cep America - Intensivists PC
• Cory Ronald Chaker, PERSONAL TRAINER
• Charles Chalekson, MD
• Charles Chalekson, MD Inc
• Aiga Charles, MD
• Julie Marie Chatigny, DPM
• Dugald Chisholm III, M.D.
• Suvarna Choudhari, M.D.

• All providers in Templeton, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.