1. Home
  2. Directory
  3. California
  4. Chico
  5. Marriage Family Therapist
  6. NPI Profile

MS. KATHLEEN RENEE DAHLSTROM
NPI 1215346309
Marriage & Family Therapist in Chico, CA

Active since August 04, 2014PECOS Enrolled
669 PALMETTO AVE STE A, CHICO, CA 95926(530) 361-5303(530) 255-2152 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2022, Aug 12, 2018 (2 updates tracked since 2018).

About Ms. Kathleen Renee Dahlstrom NPPES

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

MS. KATHLEEN RENEE DAHLSTROM (NPI 1215346309) is an individual marriage & family therapist in Chico, California, licensed in California (108236) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215346309
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. KATHLEEN RENEE DAHLSTROM
Location Address669 PALMETTO AVE STE AChico, CA 95926-4065
Mailing Address669 Palmetto Ave Ste AChico, CA 95926-4065 · (530) 361-5303 · Fax (530) 255-2152
Phone(530) 361-5303
Fax(530) 255-2152
Sole ProprietorYes
Enumeration DateAugust 4, 2014
Last NPPES UpdateOctober 7, 20222 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1215346309 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 · 108236
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.
669 PALMETTO AVE STE A, Chico, CA 95926
Open in Google Maps ↗

Other Names 1

Former Name (1)Kathleen Smith

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kathleen Renee Dahlstrom 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 Kathleen Dahlstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chico Affirmative Therapy A Licensed Marriage And Family Thera
Same address
Marriage & Family Therapist
669 PALMETTO AVE STE A
Chico, CA 95926
  • Reassigned Medicare billing, California enrollment
NPI 1437902053 (530) 361-5303

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 3

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

TIFFANY ANNE SANDERS MS
Marriage & Family Therapist
669 PALMETTO AVE STE A
CHICO, CA 95926
Butte County (530) 361-5303
CHICO AFFIRMATIVE THERAPY A LICENSED MARRIAGE AND FAMILY THERA
Marriage & Family Therapist
669 PALMETTO AVE STE A
CHICO, CA 95926
Butte County (530) 361-5303
JACKSON GRIFFIN ASW
Social Worker (Clinical)
669 PALMETTO AVE STE A
CHICO, CA 95926
Butte County (530) 566-3480

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 Kathleen Dahlstrom's NPI number?

The NPI number for Kathleen Dahlstrom is 1215346309. It was assigned to this individual provider in the NPPES registry on August 4, 2014. The provider is also known as Kathleen Smith.

Where is Kathleen Dahlstrom located?

Kathleen Dahlstrom practices at 669 Palmetto Ave Ste A, Chico, CA 95926. The listed phone number is (530) 361-5303.

What is Kathleen Dahlstrom's specialty?

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

Is Kathleen Dahlstrom enrolled in Medicare?

Yes. Kathleen Dahlstrom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Dahlstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Dahlstrom reassigns Medicare benefits to Chico Affirmative Therapy A Licensed Marriage And Family Thera (Chico, 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 Kathleen Dahlstrom'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 Kathleen Dahlstrom was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.