Individual provider Active NPI

Christina Ann Bennett-Horne

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1952861304
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
TRAINEE
Practice address
748 N Market St
Redding, CA 96003-3606
Phone
(530) 338-0087
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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 TRAINEE Primary

Addresses

Primary practice location

748 N Market St
Redding, CA 96003-3606

Mailing address

6661 Southgate Dr
Redding, CA 96001-4913
Phone (530) 917-1800

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
I20240812003168 CA Practitioner - Marriage and Family Therapist 7315485158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of ShastaGroup PAC ID 8820081581, 12 clinicians

Practice addresses (Care Compare)

2640 Breslauer Way
Redding, CA 96001-4246
Phone (530) 225-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Shasta CurrentSince Jun 25, 2024 Accepting new patients
County of Shasta CurrentSince Jun 25, 2024 Accepting new patients
Dunamis Center Incorporated Marriage & Family Therapist PastSince Aug 1, 2020 Accepting new patients
Dunamis Center Incorporated Past Accepting new patients

Locations

2640 Breslauer Way
Redding, CA 96001
Phone (530) 225-5252

Organizations & group practices 4

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1952861304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6661 SOUTHGATE DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960014913",
            "telephone_number": "530-917-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 N MARKET ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033606",
            "telephone_number": "530-338-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT-HORNE",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "TRAINEE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.