Individual provider Active NPI

Keli Allyn Schoon

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1972013100
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF101964 Issued in CA
Practice address
1074 East Ave Ste A4
Chico, CA 95926-1052
Phone
(530) 592-6322
Fax
(530) 636-4888
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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 IMF101964 CA Primary

Addresses

Primary practice location

1074 East Ave Ste A4
Chico, CA 95926-1052

Mailing address

1380 East Ave
Suite 124 PMB 173
Chico, CA 95926
Phone (530) 588-0448

Other identifiers 1

IdentifierTypeStateIssuer
IMF101964OtherCABOARD OF BEHAVIORAL SCIENCES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
119860CAMDMental Health Counselor
IMF101964CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Growing Place Center for Helping People Marriage & Family Therapist Past Accepting new patients

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": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1972013100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 EAST AVE",
            "address_2": "SUITE 124 PMB 173",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95926",
            "telephone_number": "530-588-0448",
            "fax_number": "530-636-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 EAST AVE STE A4",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261052",
            "telephone_number": "530-592-6322",
            "fax_number": "530-636-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOON",
        "first_name": "KELI",
        "middle_name": "ALLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF101964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "IMF101964",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.