Individual provider Active NPI

Kathy Jill Chastain, LMFT

  • Marriage & Family Therapist
  • Visalia, CA
National Provider Identifier
1467860577
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114064 Issued in CA
Practice address
246 W Caldwell Ave
Visalia, CA 93277-3771
Phone
(559) 991-7715
NPI assigned
Aug 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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 114064 CA Primary

Addresses

Primary practice location

246 W Caldwell Ave
Visalia, CA 93277-3771

Mailing address

246 W Caldwell Ave
Visalia, CA 93277-3771
Phone (559) 991-7715

Other identifiers 1

IdentifierTypeStateIssuer
114064OtherCABOARD OF BEHAVIORAL SCIENCES

Other names 1

  • California Christian Counseling Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
114064CAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Last Arrow Ministries Marriage & Family Therapist CurrentSince Feb 11, 2024 Accepting new patients

Locations

246 W Caldwell Ave
Visalia, CA 93277
Phone (559) 303-8039

4118 S Demaree St
Visalia, CA 93277
Phone (559) 280-1012

Organizations & group practices 1

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": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1467860577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 W CALDWELL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932773771",
            "telephone_number": "559-991-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 W CALDWELL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932773771",
            "telephone_number": "559-991-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTAIN",
        "first_name": "KATHY",
        "middle_name": "JILL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "114064",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALIFORNIA",
            "last_name": "COUNSELING",
            "middle_name": "CHRISTIAN",
            "credential": "MA, LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.