SIOBAN WADE
NPI 1063881316
Marriage & Family Therapist in Orange, CA

Active since September 16, 2015PECOS Enrolled
4000 W METROPOLITAN DR, ORANGE, CA 92868(866) 830-6011 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sioban Wade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIOBAN WADE (NPI 1063881316) is an individual marriage & family therapist in Orange, California and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Westminster.

NPPES Registry Identity

NPI1063881316
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSIOBAN WADE
Location Address4000 W METROPOLITAN DROrange, CA 92868-3504
Mailing Address14140 Beach BlvdWestminster, CA 92683-4453
Sole ProprietorYes
Enumeration DateSeptember 16, 2015
Last NPPES UpdateMarch 12, 2020
NPPES CertifiedMarch 12, 2020
✔ NPI 1063881316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4000 W METROPOLITAN DR, Orange, CA 92868

Secondary Practice Location 1

Location 114140 Beach BlvdWestminster, CA 92683-4453 · Phone (714) 896-7566

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sioban Wade is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sioban Wade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4000 W METROPOLITAN DR
ORANGE, CA 92868
Rehabilitation Practitioner
4000 W METROPOLITAN DR
ORANGE, CA 92868
Student in an Organized Health Care Education/Training Program
4000 W METROPOLITAN DR
ORANGE, CA 92868
Social Worker (Clinical)
4000 W METROPOLITAN DR
ORANGE, CA 92868
Marriage & Family Therapist
4000 W METROPOLITAN DR
ORANGE, CA 92868
Rehabilitation Practitioner
4000 W METROPOLITAN DR
ORANGE, CA 92868
Counselor (Mental Health)
4000 W METROPOLITAN DR
ORANGE, CA 92868
Marriage & Family Therapist
4000 W METROPOLITAN DR
ORANGE, CA 92868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sioban Wade's NPI number?

The NPI number for Sioban Wade is 1063881316. It was assigned to this individual provider in the NPPES registry on September 16, 2015.

Where is Sioban Wade located?

Sioban Wade practices at 4000 W Metropolitan Dr, Orange, CA 92868. The listed phone number is (866) 830-6011.

What is Sioban Wade's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Sioban Wade enrolled in Medicare?

Yes. Sioban Wade is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sioban Wade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sioban Wade reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sioban Wade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sioban Wade was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.