Individual provider Active NPI

Pamela Jean Eaken, MA

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1841488061
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
55 Independence Cir Ste 104
Chico, CA 95973-4909
Phone
(650) 504-1982
NPI assigned
Oct 12, 2007
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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 Primary

Addresses

Primary practice location

55 Independence Cir Ste 104
Chico, CA 95973-4909

Mailing address

55 Independence Cir Ste 104
Chico, CA 95973-4909
Phone (650) 504-1982

Other names 1

  • Pamela Jean White Former name

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
I20240123000219 CA Practitioner - Marriage and Family Therapist 0446602783 Practice locations: Chico, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 Independence Cir
Suite 104
Chico, CA 95973-4909
Phone (650) 504-1982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
50359CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Steele Psychology Corp CurrentSince Dec 17, 2023 Accepting new patients
Adam Schaller Licensed Clinical Social Worker PastSince Dec 17, 2023 Accepting new patients

Locations

55 Independence Cir
Ste 104
Chico, CA 95973
Phone (530) 487-0184

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1841488061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 INDEPENDENCE CIR STE 104",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734909",
            "telephone_number": "650-504-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 INDEPENDENCE CIR STE 104",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734909",
            "telephone_number": "650-504-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAKEN",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "WHITE",
            "middle_name": "JEAN",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.