MARIE CHOLULA
NPI 1275098055
Marriage & Family Therapist in Stockton, CA
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marie Cholula is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marie Cholula reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95207
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of San Joaquin
- 195 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.
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.
Which organization bills Medicare for Marie Cholula's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marie Cholula reassigns Medicare benefits to San Joaquin County Behavioral Health Services (Stockton, 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 Marie Cholula'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 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.
# Marie Cholula · NPI 1275098055
Marriage & Family Therapist provider in Stockton, California. Individual provider, active in the CMS NPPES registry since February 5, 2019.
## Identity
- **NPI:** 1275098055 (Entity type: Individual)
- **Enumerated:** February 5, 2019
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 139853 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6 W CANTERBURY DR, Stockton, CA 95207-5706
- **Phone:** (209) 953-7289
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** San Joaquin County Behavioral Health Services (NPI 1356558639, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1275098055) · Data from the CMS NPPES public registry.