CHANNYN HOUSE
NPI 1114437522
Marriage & Family Therapist in San Francisco, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Channyn House is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Channyn House reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94109
- Reassigned Medicare billing, California enrollment
- 15 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.
SAN FRANCISCO, CA 94103
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 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.
Where is Channyn House located?
Channyn House practices at 1563 Mission St, San Francisco, CA 94103. The listed phone number is (415) 738-8455.
What is Channyn House's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Channyn House enrolled in Medicare?
Yes. Channyn House is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Channyn House's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Channyn House reassigns Medicare benefits to Hyde Street Community Services, Inc (San Francisco, 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 Channyn House'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 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 2 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.
# Channyn House · NPI 1114437522
Marriage & Family Therapist provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since October 11, 2017.
## Identity
- **NPI:** 1114437522 (Entity type: Individual)
- **Enumerated:** October 11, 2017
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 150819 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1563 MISSION ST, San Francisco, CA 94103-2543
- **Phone:** (415) 738-8455
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Hyde Street Community Services, Inc (NPI 1033278940, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114437522) · Data from the CMS NPPES public registry.