Active NPI
Chermayne Chantel Moore
- Marriage & Family Therapist
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 152655
- Practice address
- 1803 W March LN
Stockton, CA 95207-6458 - Phone
- (209) 636-5353
- NPI assigned
- Oct 3, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 124414 | CA | |
| Marriage & Family Therapist | 106H00000X | 152655 | CA | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
1803 W March LN
Stockton, CA 95207-6458
Mailing address
1803 W March LN Ste C
Stockton, CA 95207-6414
Other practice location 1
7236 S Recovery Rd
French Camp, CA 95231-8901
Phone (209) 888-6595 ext. 6
Other practice location 2
7224 S Recovery Rd
French Camp, CA 95231-8901
Phone (209) 888-6595 ext. 5
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124414 | CA | MD | Mental Health Counselor |
| 152655 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Joaquin | Current | Accepting new patients | |
| San Joaquin Behavioral Health Services | Mental Health | Current | Accepting new patients |
Locations
1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070
1212 N California St
Stockton, CA 95202
Phone (209) 468-8660
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Stockton, CA
- NPI 1215028931
Mental Health
-
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1700396850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 W MARCH LN STE C",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 W MARCH LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076458",
"telephone_number": "209-636-5353"
}
],
"practiceLocations": [
{
"address_1": "7236 S Recovery Rd",
"address_purpose": "LOCATION",
"city": "French Camp",
"state": "CA",
"postal_code": "952318901",
"country_code": "US",
"telephone_number": "209-888-6595 x6",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7224 S Recovery Rd",
"address_purpose": "LOCATION",
"city": "French Camp",
"state": "CA",
"postal_code": "952318901",
"country_code": "US",
"telephone_number": "209-888-6595 x5",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "CHERMAYNE",
"middle_name": "CHANTEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "124414",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "152655",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.