Individual provider Active NPI

Natasha Thomas

  • Marriage & Family Therapist
  • Victorville, CA
National Provider Identifier
1649523663
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
124319 Issued in CA
Practice address
15447 Anacapa Rd
Victorville, CA 92392-2481
Phone
(909) 654-0798
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 124319 CA Primary

Addresses

Primary practice location

15447 Anacapa Rd
Victorville, CA 92392-2481

Mailing address

1585 Flora St
Beaumont, CA 92223-3108

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
I20240827001163 CA Practitioner - Marriage and Family Therapist 1951840602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Change Therapeutic Services IncGroup PAC ID 3072914746, 4 clinicians

Practice addresses (Care Compare)

15447 Anacapa Rd
Suite D102
Victorville, CA 92392-2481
Phone (909) 654-0798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Change Therapeutic Services, Inc. Marriage & Family Therapist CurrentSince Aug 13, 2024 Accepting new patients

Locations

15447 Anacapa Rd
Ste D102
Victorville, CA 92392
Phone (909) 654-0798

Organizations & group practices 1

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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1649523663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 FLORA ST",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15447 ANACAPA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922481",
            "telephone_number": "909-654-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NATASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.