Chelsey Danielle Colburn, LMFT #135622

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

135622 Issued in CA

Practice address

334 Shaw Ave Ste 100
Clovis, CA 93612-3839

Phone

(559) 712-8500

NPI assigned

Nov 8, 2022

Last updated

Nov 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• A Mind Above, a Professional Psychology Corporation

  dba A Mind Above

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
  • NPI 1669039327
  NPD

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1992413926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 SHAW AVE STE 100",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123839",
            "telephone_number": "559-712-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 SHAW AVE STE 100",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123839",
            "telephone_number": "559-712-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBURN",
        "first_name": "CHELSEY",
        "middle_name": "DANIELLE",
        "credential": "LMFT #135622",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Codianni-Reta, CMT
• Redentor Codilla Jr.
• Rhelma Codilla, OT
• Christopher Martin Cody, M.D.
• Hannah Cogburn
• Kathryn Colburn, PT, DPT
• Dylan A Cole
• Sarah Adoline Collard
• Collins Chiropractic Inc
• Collins Chiropractic Inc

• Marriage & Family Therapist in Clovis, CA
• Providers in Clovis, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.