Individual provider Active NPI

Chelsea Nicole Camacho

  • Marriage & Family Therapist
  • Santa Maria, CA
National Provider Identifier
1538418728
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
145253 Issued in CA
Practice address
201 W Chapel St
Santa Maria, CA 93458-4303
Phone
(805) 922-2243
Fax
(805) 349-8165
NPI assigned
Sep 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 76038 CA
Marriage & Family Therapist 106H00000X 113702 CA
Case Manager/Care Coordinator 171M00000X 76038 CA
Marriage & Family Therapist 106H00000X 145253 CA Primary

Addresses

Primary practice location

201 W Chapel St
Santa Maria, CA 93458-4303

Mailing address

1913 Sandalwood Dr
Santa Maria, CA 93455-2863
Phone (805) 720-3991

Other practice location 1

602 Anacapa St
Santa Barbara, CA 93101-1615
Phone (805) 964-8857

Other identifiers 2

IdentifierTypeStateIssuer
113702OtherCAAMFT CALIFORNIA
76038OtherCAIMF CALIFORNIA

Other names 1

  • Chelsea Nicole Moreno Former 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
I20250619000867 CA Practitioner - Marriage and Family Therapist 1355852997 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113702CAMDMarriage & Family Therapist
145253CAMDMarriage & Family Therapist
76038CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Mental Health CurrentSince May 13, 2025 Accepting new patients
Community Action Commission of Santa Barbara County Case Manager/Care Coordinator PastSince Dec 21, 2025 Accepting new patients
Community Action Commission of Santa Barbara County PastSince Oct 20, 2024 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1538418728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 SANDALWOOD DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934552863",
            "telephone_number": "805-720-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934584303",
            "telephone_number": "805-922-2243",
            "fax_number": "805-349-8165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Anacapa St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931011615",
            "country_code": "US",
            "telephone_number": "805-964-8857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "CHELSEA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-03",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "76038",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113702",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "76038",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMFT CALIFORNIA",
            "identifier": "113702",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMF CALIFORNIA",
            "identifier": "76038",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "MORENO",
            "middle_name": "NICOLE",
            "credential": "IMF (CA)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.