Allen Dewayne Chesney, AMFT APCC FORMER IDC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT109669 Issued in CA

Practice address

937 Via Lata Ste 400
Colton, CA 92324-3958

Phone

(601) 527-7537

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1609955699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E GILBERT STREET FAST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924150001",
            "telephone_number": "601-527-7537",
            "fax_number": "909-386-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 VIA LATA STE 400",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243958",
            "telephone_number": "601-527-7537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 La Amistad Way",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925459191",
            "country_code": "US",
            "telephone_number": "601-527-7537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 E Gilbert Street Fast",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924150001",
            "country_code": "US",
            "telephone_number": "909-387-7118",
            "fax_number": "909-386-0750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHESNEY",
        "first_name": "ALLEN",
        "middle_name": "DEWAYNE",
        "name_prefix": "Mr.",
        "credential": "AMFT APCC FORMER IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC6769",
            "primary": false
        },
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT109669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609955699",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allen.chesney@dbh.sbcounty.gov",
            "affiliation": "N",
            "endpointDescription": "provider's professional and confidential email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "217 La Amistad Way",
            "city": "Hemet",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925459191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Irene Z Chen, MD
• Iwen Chen
• Yanfei Chen, MD
• Yu Wen Cheng, MD
• Rebecca S Chenier
• Christina May Cheung, MD
• Linda Uy Tiv Cheung, M.D.
• Elvin Chiang, DO
• Clayton Chiapuzio
• Stacey Elizabeth Ifeoma Chidi, MD

• Marriage & Family Therapist in Colton, CA
• Providers in Colton, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.