Individual provider Active NPI

Benita Veronica Chavez-Humble, M.A.

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1629170204
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC31305 Issued in CA
Practice address
1216 Sheridan Ave
Chico, CA 95926-2712
Phone
(530) 894-1646
Fax
(530) 345-7766
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC31305 CA Primary

Addresses

Primary practice location

1216 Sheridan Ave
Chico, CA 95926-2712

Mailing address

1216 Sheridan Ave
Chico, CA 95926-2712
Phone (530) 894-1646

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC31305CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629170204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 SHERIDAN AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262712",
            "telephone_number": "530-894-1646",
            "fax_number": "530-345-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 SHERIDAN AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262712",
            "telephone_number": "530-894-1646",
            "fax_number": "530-345-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ-HUMBLE",
        "first_name": "BENITA",
        "middle_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC31305",
            "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 Jul 8, 2007; 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.