MS. CANON J. WESTERN M.F.T.
NPI 1376780684
Marriage & Family Therapist in Santa Cruz, CA

Active since January 08, 2009Opted out of Medicare · through Jan 1, 2028
147 S RIVER ST, SUITE 204, SANTA CRUZ, CA 95060(831) 454-9155 Get Directions Write a Review

NPPES record last updated: January 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Canon J. Western M.f.t. NPPES

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

MS. CANON J. WESTERN M.F.T. (NPI 1376780684) is an individual marriage & family therapist in Santa Cruz, California, licensed in California (MFT29338) and active in the NPI registry since January 2009. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1376780684
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. CANON J. WESTERNCredential: M.F.T.
Location Address147 S RIVER ST, SUITE 204Santa Cruz, CA 95060-4551
Mailing Address147 S River St, Suite 204Santa Cruz, CA 95060-4551 · (831) 454-9155
Sole ProprietorYes
Enumeration DateJanuary 8, 2009
NPI 1376780684 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 · MFT29338
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.
147 S RIVER ST, Santa Cruz, CA 95060

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Canon J. Western M.f.t. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
147 S RIVER ST, SUITE 204
SANTA CRUZ, CA 95060
Marriage & Family Therapist
147 S RIVER ST, SUITE 230
SANTA CRUZ, CA 95060
Community/Behavioral Health
147 S RIVER ST, SUITE 234-A
SANTA CRUZ, CA 95060
Marriage & Family Therapist
147 S RIVER ST, SUITE 230
SANTA CRUZ, CA 95060
Speech-Language Pathologist
147 S RIVER ST, SUITE 228
SANTA CRUZ, CA 95060
Counselor (Mental Health)
147 S RIVER ST, SUITE 204
SANTA CRUZ, CA 95060
Marriage & Family Therapist
147 S RIVER ST, SUITE 213
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
147 S RIVER ST
SANTA CRUZ, CA 95060

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 Canon Western's NPI number?

The NPI number for Canon Western is 1376780684. It was assigned to this individual provider in the NPPES registry on January 8, 2009.

Where is Canon Western located?

Canon Western practices at 147 S River St Suite 204, Santa Cruz, CA 95060. The listed phone number is (831) 454-9155.

What is Canon Western's specialty?

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

Is Canon Western enrolled in Medicare?

No. Canon Western has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Canon Western was last updated on January 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.