Active NPI
Samantha Chez Babcock McMullen, LMFT
- Mental Health Counselor
- Chico, CA
National Provider Identifier
1619390291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 124825
- Practice address
- 636 Burnt Ranch Way
Chico, CA 95973-8293 - Phone
- (408) 605-9874
- NPI assigned
- Feb 2, 2014
- Last updated
- Nov 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | 124825 | CA | Primary |
Addresses
Primary practice location
636 Burnt Ranch Way
Chico, CA 95973-8293
Mailing address
636 Burnt Ranch Way
Chico, CA 95973-8293
Phone (408) 605-9874
Other practice location 1
560 Cohasset Rd Ste 180
Chico, CA 95926-2460
Phone (530) 891-3277
Other practice location 2
590 Rio Lindo Ave
Chico, CA 95926-1817
Phone (530) 345-3491
Other practice location 3
990 Villa St
Mountain View, CA 94041-1236
Phone (886) 889-2968
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 |
|---|---|---|---|
| 124825 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1619390291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 BURNT RANCH WAY",
"city": "CHICO",
"state": "CA",
"postal_code": "959738293",
"telephone_number": "408-605-9874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 BURNT RANCH WAY",
"city": "CHICO",
"state": "CA",
"postal_code": "959738293",
"telephone_number": "408-605-9874"
}
],
"practiceLocations": [
{
"address_1": "560 Cohasset Rd Ste 180",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959262460",
"country_code": "US",
"telephone_number": "530-891-3277",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "590 Rio Lindo Ave",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959261817",
"country_code": "US",
"telephone_number": "530-345-3491",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "990 Villa St",
"address_purpose": "LOCATION",
"city": "Mountain View",
"state": "CA",
"postal_code": "940411236",
"country_code": "US",
"telephone_number": "886-889-2968",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMULLEN",
"first_name": "SAMANTHA",
"middle_name": "CHEZ BABCOCK",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-02",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "124825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.