Individual provider Active NPI

Celeste Margaret Charbonnet-Cross, LMFT

  • Marriage & Family Therapist
  • Westlake Village, CA
National Provider Identifier
1568704500
Registry record updated Mar 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 39769 Issued in CA
Practice address
5743 Corsa Ave
Ste# 103
Westlake Village, CA 91362-4027
Phone
(818) 623-6474
NPI assigned
Mar 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2013

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 MFC 39769 CA Primary

Addresses

Primary practice location

5743 Corsa Ave
Ste# 103
Westlake Village, CA 91362-4027

Mailing address

79 E Daily Dr
Ste# 639
Camarillo, CA 93010-5807

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
I20260514002822 CA Practitioner - Marriage and Family Therapist 8820567209 Practice locations: Oceanside, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1133 Championship Rd
Oceanside, CA 92057-1941
Phone (818) 623-6474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 39769CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1363392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363392000000",
    "number": "1568704500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 E DAILY DR",
            "address_2": "STE# 639",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE",
            "address_2": "STE# 103",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624027",
            "telephone_number": "818-623-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARBONNET-CROSS",
        "first_name": "CELESTE",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-16",
        "last_updated": "2013-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 39769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.