Active NPI
Cheryl Sue Berge, LMFT
- Marriage & Family Therapist
- Chico, CA
National Provider Identifier
1609916907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 30703
- Practice address
- 15 Ilahee LN Ste 100
Chico, CA 95973-7205 - Phone
- (530) 624-2473
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 | MFC 30703 | CA | Primary |
Addresses
Primary practice location
15 Ilahee LN Ste 100
Chico, CA 95973-7205
Mailing address
PO Box 1342
Magalia, CA 95954-1342
Phone (530) 624-2473
Other practice location 1
242 N Villa Ave
Willows, CA 95988-2641
Phone (530) 865-6459
Other practice location 2
242 N Villa Ave
Willows, CA 95988-2641
Phone (530) 865-6459
Other practice location 3
21 Hanover Ln Ste A
Chico, CA 95973-7269
Phone (530) 624-2473
Other names 1
- Cheryl Sue Sanders
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 30703 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1609916907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1342",
"city": "MAGALIA",
"state": "CA",
"postal_code": "959541342",
"telephone_number": "530-624-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ILAHEE LN STE 100",
"city": "CHICO",
"state": "CA",
"postal_code": "959737205",
"telephone_number": "530-624-2473"
}
],
"practiceLocations": [
{
"address_1": "242 N Villa Ave",
"address_purpose": "LOCATION",
"city": "Willows",
"state": "CA",
"postal_code": "959882641",
"country_code": "US",
"telephone_number": "530-865-6459",
"fax_number": "530-865-6483",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "242 N Villa Ave",
"address_purpose": "LOCATION",
"city": "Willows",
"state": "CA",
"postal_code": "959882641",
"country_code": "US",
"telephone_number": "530-865-6459",
"fax_number": "530-865-6483",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21 Hanover Ln Ste A",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959737269",
"country_code": "US",
"telephone_number": "530-624-2473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERGE",
"first_name": "CHERYL",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 30703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "SANDERS",
"middle_name": "SUE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.