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MARIE CHOLULA
NPI 1275098055
Marriage & Family Therapist in Stockton, CA

Active since February 05, 2019PECOS Enrolled
6 W CANTERBURY DR, STOCKTON, CA 95207(209) 953-7289 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 27, 2020, Feb 5, 2019 (2 updates tracked since 2019).

About Marie Cholula NPPES

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

MARIE CHOLULA (NPI 1275098055) is an individual marriage & family therapist in Stockton, California, licensed in California (139853) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Stockton.

NPPES Registry Identity

NPI1275098055
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARIE CHOLULA
Location Address6 W CANTERBURY DRStockton, CA 95207-5706
Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 808-6641
Phone(209) 953-7289
Sole ProprietorYes
Enumeration DateFebruary 5, 2019
Last NPPES UpdateOctober 28, 20242 updates tracked since enumeration
NPPES CertifiedOctober 28, 2024
✔ NPI 1275098055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 139853✔ Licensed in CA · AMFT120341
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
6 W CANTERBURY DR, Stockton, CA 95207
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Secondary Practice Location 1

Location 11212 N California StStockton, CA 95202-1552 · Phone (209) 468-8880

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marie Cholula 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.

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 Marie Cholula's NPI number?

The NPI number for Marie Cholula is 1275098055. It was assigned to this individual provider in the NPPES registry on February 5, 2019.

Where is Marie Cholula located?

Marie Cholula practices at 6 W Canterbury Dr, Stockton, CA 95207. The listed phone number is (209) 953-7289.

What is Marie Cholula's specialty?

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

Is Marie Cholula enrolled in Medicare?

Yes. Marie Cholula is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marie Cholula was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.