Catherine Linnea Chambliss, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC39875 Issued in CA

Practice address

2615 Pacific Coast Hwy
#325
Hermosa Beach, CA 90254-2225

Phone

(310) 303-9132

Fax

(310) 379-6838

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 17, 2024 through Feb 17, 2028

Medicare enrollment (NPD)

Not 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.

• Chambliss& Associates, MFT Inc.

  • Mental Health Counselor
  • Hermosa Beach, CA
  • NPI 1972370468
  NPD Authorized official
• Beach Cities Psychological Services, Inc.

  • Clinical Psychologist
  • Hermosa Beach, CA
  • NPI 1528317955

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1497764146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 PACIFIC COAST HWY",
            "address_2": "#325",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542225",
            "telephone_number": "310-303-9132",
            "fax_number": "310-379-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PACIFIC COAST HWY",
            "address_2": "#325",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542225",
            "telephone_number": "310-303-9132",
            "fax_number": "310-379-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLISS",
        "first_name": "CATHERINE",
        "middle_name": "LINNEA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Nicole Carroll
• Devron Carter
• Peter David Carter, MFT
• Casa Healthcare Services LLC
• Delque Dadisi Chalk
• Chambliss& Associates, MFT Inc.
• Steven Tudor Charles, M.D.
• Thomas J Chase, PA
• Cheree Rosalind Chavis
• Chelsea Fidai MD Inc

• Marriage & Family Therapist in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.