Individual provider Active NPI

Malissa Staton, LMFT

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1528384369
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
468 Manzanita Ave Ste 2a
Chico, CA 95926-1358
Phone
(805) 835-7159
NPI assigned
Apr 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

468 Manzanita Ave Ste 2a
Chico, CA 95926-1358

Mailing address

468 Manzanita Ave Ste 2
Chico, CA 95926-1358
Phone (805) 952-2147

Other practice location 1

9700 El Camino Real Ste 303
Atascadero, CA 93422-5581
Phone (805) 835-7159

Other practice location 2

130 Yellowstone Dr
suite 100
Chico, CA 95973-5884
Phone (530) 891-2775

Other practice location 3

468 Manzanita Ave Ste 7
Chico, CA 95926-1358
Phone (805) 835-7159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 30, 2024 through Jan 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
81812CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1528384369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 MANZANITA AVE STE 2",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261358",
            "telephone_number": "805-952-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 MANZANITA AVE STE 2A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261358",
            "telephone_number": "805-835-7159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 El Camino Real Ste 303",
            "address_purpose": "LOCATION",
            "city": "Atascadero",
            "state": "CA",
            "postal_code": "934225581",
            "country_code": "US",
            "telephone_number": "805-835-7159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Yellowstone Dr",
            "address_2": "suite 100",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959735884",
            "country_code": "US",
            "telephone_number": "530-891-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "468 Manzanita Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959261358",
            "country_code": "US",
            "telephone_number": "805-835-7159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATON",
        "first_name": "MALISSA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.