Individual provider Active NPI

Chauntell Sanchez, LMFT

  • Marriage & Family Therapist
  • Thousand Oaks, CA
National Provider Identifier
1609303197
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT123448 Issued in CA
Practice address
125 W Thousand Oaks Blvd Ste 600
Thousand Oaks, CA 91360-4463
Phone
(805) 777-3505
NPI assigned
May 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X LMFT123448 CA Primary

Addresses

Primary practice location

125 W Thousand Oaks Blvd Ste 600
Thousand Oaks, CA 91360-4463

Mailing address

125 W Thousand Oaks Blvd Ste 600
Thousand Oaks, CA 91360-4463
Phone (805) 777-3505

Other practice location 1

260 W 4th St
Oxnard, CA 93030-5908
Phone (805) 486-9405

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
I20240909004719 CA Practitioner - Marriage and Family Therapist 7214477942 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT123448CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Jun 4, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 24, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 24, 2024 Accepting new patients
Southern California Permanente Medical Group Single Specialty Current Accepting new patients
County of Ventura PastSince Dec 13, 2020 Accepting new patients
Interface Children and Family Services Past Accepting new patients

Locations

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

125 W Thousand Oaks Blvd
Ste 600
Thousand Oaks, CA 91360
Phone (805) 777-3500

888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400

5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000

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": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1609303197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD STE 600",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604463",
            "telephone_number": "805-777-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD STE 600",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604463",
            "telephone_number": "805-777-3505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930305908",
            "country_code": "US",
            "telephone_number": "805-486-9405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "CHAUNTELL",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT123448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.