MISS EMMYLOU CHUA CANCINO IMF
NPI 1164762241
Marriage & Family Therapist in Sacramento, CA

Q: What is Emmylou Cancino's NPI number?

The NPI number for Emmylou Cancino is 1164762241. It was assigned to this individual provider in the NPPES registry on February 26, 2013. The provider is also known as Emmylou Chua.

Q: What is Emmylou Cancino'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 Emmylou Cancino was last updated on March 5, 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.

Active since February 26, 2013PECOS EnrolledAccepts Medicare Assignment

3815 MARCONI AVE, SACRAMENTO, CA 95821(707) 639-7498 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 5, 2024, Jan 3, 2022, Aug 25, 2017 (3 updates tracked since 2017).

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About Miss Emmylou Chua Cancino Imf NPPES

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

MISS EMMYLOU CHUA CANCINO IMF (NPI 1164762241) is an individual marriage & family therapist in Sacramento, California, licensed in California (72930) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1164762241

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMISS EMMYLOU CHUA CANCINOCredential: IMF

Location Address3815 MARCONI AVESacramento, CA 95821-3867

Mailing Address3815 Marconi AveSacramento, CA 95821-3867

Phone(707) 639-7498

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateFebruary 26, 2013

Last NPPES UpdateMarch 5, 20243 updates tracked since enumeration

NPPES CertifiedMarch 5, 2024

✔ NPI 1164762241 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 · 72930

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.

3815 MARCONI AVE, Sacramento, CA 95821

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Other Names 1

Former Name (1)Emmylou Chua

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Emmylou Chua Cancino Imf is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254777642

PECOS Enrollment IDI20240307002227

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.

CALI T THIELEN

Adult Companion