Individual provider Active NPI

Inna Anatoly Lukyanov

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1588073274
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
155522 Issued in CA
Practice address
2550 Floral Ave Ste 30
Chico, CA 95973-9369
Phone
(530) 877-1965
Fax
(530) 894-5791
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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 155522 CA Primary

Addresses

Primary practice location

2550 Floral Ave Ste 30
Chico, CA 95973-9369

Mailing address

2550 Floral Ave Ste 30
Chico, CA 95973-9369
Phone (352) 474-0678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250707001107 TX Practitioner - Marriage and Family Therapist 4789198409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Northern Valley Indian Health Inc 35 clinicians

Practice addresses (Care Compare)

207 N Butte St
Willows, CA 95988-2803
Phone (530) 934-9293

500 Cohasset Rd
Suite 15
Chico, CA 95926-2260
Phone (530) 433-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
155522CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tula Therapeutic Collective Mental Health CurrentSince Oct 21, 2025 Accepting new patients
Northern Valley Indian Health Inc CurrentSince Jun 5, 2025 Accepting new patients
Northern Valley Indian Health Inc CurrentSince Jun 5, 2025 Accepting new patients

Locations

845 W East Ave
Chico, CA 95926
Phone (530) 896-9400

2550 Floral Ave
Ste 30
Chico, CA 95973
Phone (530) 212-0266

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

Organizations & group practices 6

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1588073274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 FLORAL AVE STE 30",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959739369",
            "telephone_number": "352-474-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 FLORAL AVE STE 30",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959739369",
            "telephone_number": "530-877-1965",
            "fax_number": "530-894-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKYANOV",
        "first_name": "INNA",
        "middle_name": "ANATOLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "155522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.