Individual provider Active NPI

Suzie J Dukes, MFT LICENSE

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1548374630
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT193990 Issued in CA
Practice address
1530 Humboldt Rd Ste 4
Chico, CA 95928-9196
Phone
(530) 343-5225
Fax
(530) 876-1058
NPI assigned
Aug 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFT193990 CA Primary

Addresses

Primary practice location

1530 Humboldt Rd Ste 4
Chico, CA 95928-9196

Mailing address

1530 Humboldt Rd Ste 4
Chico, CA 95928-9196
Phone (530) 343-5225

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
I20260604003104 CA Practitioner - Marriage and Family Therapist 0749751378 Practice locations: Chico, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 B Williamsburg LN
Chico, CA 95926-2225
Phone (530) 320-0339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT193990CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548374630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 HUMBOLDT RD STE 4",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289196",
            "telephone_number": "530-343-5225",
            "fax_number": "530-876-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 HUMBOLDT RD STE 4",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289196",
            "telephone_number": "530-343-5225",
            "fax_number": "530-876-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "SUZIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MFT LICENSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT193990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.