Individual provider Active NPI

Esther Trevino, MTF

  • Marriage & Family Therapist
  • Sonoma, CA
National Provider Identifier
1528051489
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC18107 Issued in CA
Practice address
19343 Highway 12
Sonoma, CA 95476-5445
Phone
(408) 896-4585
Fax
(707) 468-4313
NPI assigned
Aug 25, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 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 MFC18107 CA Primary

Addresses

Primary practice location

19343 Highway 12
Sonoma, CA 95476-5445

Mailing address

1612 S Dora St
Ukiah, CA 95482-6519
Phone (707) 468-9030

Other practice location 1

655 W Spain St Apt 8
Sonoma, CA 95476-5982
Phone (408) 896-4585

Other identifiers 2

IdentifierTypeStateIssuer
MFT181070OtherCABLUE SHIELD OF CALIFORNIA
MFC18107OtherCABLUE CROSS OF CALIFORNIA

Other names 1

  • Esther Trevino-de la Chaumiere Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205004235 CA Practitioner - Marriage and Family Therapist 2567805724 Practice locations: Sonoma, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19343 Hwy 12
Sonoma, CA 95476-5445
Phone (408) 896-4585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC18107CAMDMarriage & Family Therapist
18107CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DMK LLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

19343 Highway 12
Sonoma, CA 95476
Phone (707) 721-4149

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1528051489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826519",
            "telephone_number": "707-468-9030",
            "fax_number": "707-468-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19343 HIGHWAY 12",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954765445",
            "telephone_number": "408-896-4585",
            "fax_number": "707-468-4313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 W Spain St Apt 8",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954765982",
            "country_code": "US",
            "telephone_number": "408-896-4585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "ESTHER",
        "credential": "MTF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC18107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "MFT181070",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CALIFORNIA",
            "identifier": "MFC18107",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTHER",
            "last_name": "TREVINO-DE LA CHAUMIERE",
            "credential": "MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sonoma, CA

Sources for this page

Verify at the official NPI Registry.