MONIQUE CHATRISA PCC INTERN
NPI 1164965133
Counselor - Professional in Crestline, CA

Active since November 23, 2016PECOS Enrolled
24174 WABERN DRIVE, CRESTLINE, CA 92325(949) 940-6108 Get Directions Write a Review

NPPES record last updated: November 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Monique Chatrisa Pcc Intern NPPES

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

MONIQUE CHATRISA PCC INTERN (NPI 1164965133) is an individual professional provider in Crestline, California, licensed in California (2802) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164965133
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMONIQUE CHATRISACredential: PCC INTERN
Location Address24174 WABERN DRIVECrestline, CA 92325
Mailing AddressPo Box 947Twin Peaks, CA 92391-0947 · (949) 940-6108
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 23, 2016
NPI 1164965133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CA · 2802
24174 WABERN DRIVE, Crestline, CA 92325

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Monique Chatrisa Pcc Intern is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406332378
PECOS Enrollment IDI20260109002798
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.

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 Monique Chatrisa's NPI number?

The NPI number for Monique Chatrisa is 1164965133. It was assigned to this individual provider in the NPPES registry on November 23, 2016.

Where is Monique Chatrisa located?

Monique Chatrisa practices at 24174 Wabern Drive, Crestline, CA 92325. The listed phone number is (949) 940-6108.

What is Monique Chatrisa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Monique Chatrisa enrolled in Medicare?

Yes. Monique Chatrisa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Monique Chatrisa was last updated on November 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.