Individual provider Active NPI

Christie L Chu, MARRIAGE AND FAMILY

  • Marriage & Family Therapist
  • Martinez, CA
National Provider Identifier
1962827121
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
99562 Issued in CA
Practice address
1320 Arnold Dr # 1701
Martinez, CA 94553-6537
Phone
(925) 372-4213
Fax
(925) 372-4216
NPI assigned
Feb 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16129 TX
Marriage & Family Therapist 106H00000X 99562 CA Primary

Addresses

Primary practice location

1320 Arnold Dr # 1701
Martinez, CA 94553-6537

Mailing address

1320 Arnold Dr # 1701
Martinez, CA 94553-6537
Phone (925) 372-4213

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
I20250220000406 CA Practitioner - Marriage and Family Therapist 2466972500 Practice locations: Concord, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99562CAMDMarriage & Family Therapist
16129TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christiewilhitechu@tdh.allscriptsdirect.net

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": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1962827121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 ARNOLD DR # 1701",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945536537",
            "telephone_number": "925-372-4213",
            "fax_number": "925-372-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ARNOLD DR # 1701",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945536537",
            "telephone_number": "925-372-4213",
            "fax_number": "925-372-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "CHRISTIE",
        "middle_name": "L",
        "credential": "MARRIAGE AND FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2020-11-04",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16129",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

Verify at the official NPI Registry.