Organization Active NPI

Orcutt Marriage and Family Counseling, Inc

  • Marriage & Family Therapist
  • Santa Maria, CA
National Provider Identifier
1881439974
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ORCUTT MARRIAGE AND FAMILY COUNSELING, INC
Doing business as
Ana Champagne, LMFT
Practice address
1125 East Clark Ave Suite A3 #4
Santa Maria, CA 93455
Phone
(805) 720-4533
NPI assigned
Jun 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Mrs. Ana Champagne, LMFTNPI 1225234685
Title
Owner
Phone
(805) 720-4533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1125 East Clark Ave Suite A3 #4
Santa Maria, CA 93455

Mailing address

1125 E Clark Ave Ste A3
Santa Maria, CA 93455-5153
Phone (805) 720-4533

Other names 1

  • Ana Champagne, LMFT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241122003875 CA Part B Supplier - Clinic/Group Practice 6103351408 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Maria, CA

National Provider Directory

National Provider Directory

Locations

1125 E Clark Ave
Ste A3
Santa Maria, CA 93455
Phone (805) 242-6634

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1881439974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E CLARK AVE STE A3",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555153",
            "telephone_number": "805-720-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 EAST CLARK AVE SUITE A3 #4",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93455",
            "telephone_number": "805-720-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCUTT MARRIAGE AND FAMILY COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-720-4533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ana Champagne, LMFT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.