Active NPI
Cristy Chavez
- Marriage & Family Therapist
- Atascadero, CA
National Provider Identifier
1609230473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 132075
- Practice address
- 3556 El Camino Real
Atascadero, CA 93422-2532 - Phone
- (805) 781-4275
- Fax
- (805) 781-1227
- NPI assigned
- Apr 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 132075 | CA | Primary |
Addresses
Primary practice location
3556 El Camino Real
Atascadero, CA 93422-2532
Mailing address
9700 El Camino Real Ste 303
Atascadero, CA 93422-5581
Phone (805) 440-5608
Other names 1
- Cristy Chavez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 26, 2024 through Feb 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132075 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1609230473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 EL CAMINO REAL STE 303",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934225581",
"telephone_number": "805-440-5608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3556 EL CAMINO REAL",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934222532",
"telephone_number": "805-781-4275",
"fax_number": "805-781-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "CRISTY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "132075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRISTY",
"last_name": "CHAVEZ",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.