CHANNYN HOUSE
NPI 1114437522
Marriage & Family Therapist in San Francisco, CA

Q: What is Channyn House's NPI number?

The NPI number for Channyn House is 1114437522. It was assigned to this individual provider in the NPPES registry on October 11, 2017.

Q: What is Channyn House's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Channyn House was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since October 11, 2017PECOS Enrolled

1563 MISSION ST, SAN FRANCISCO, CA 94103(415) 738-8455 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2019, Apr 24, 2018, Oct 11, 2017 (3 updates tracked since 2017).

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About Channyn House NPPES

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

CHANNYN HOUSE (NPI 1114437522) is an individual marriage & family therapist in San Francisco, California, licensed in California (150819) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114437522

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameCHANNYN HOUSE

Location Address1563 MISSION STSan Francisco, CA 94103-2543

Mailing Address1563 Mission StSan Francisco, CA 94103-2543

Phone(415) 738-8455

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 11, 2017

Last NPPES UpdateOctober 24, 20243 updates tracked since enumeration

NPPES CertifiedOctober 24, 2024

✔ NPI 1114437522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 150819

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.

1563 MISSION ST, San Francisco, CA 94103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9830624261

PECOS Enrollment IDI20241122000257

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.

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.

MRS. SANDRA LOUISE JAMES MSW

Social Worker