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HIEDI M CHAN MA
NPI 1497942320
Marriage & Family Therapist in Lakeside, CA

Active since September 25, 2007Opted out of Medicare · through Jan 1, 2028
13037 YERBA VALLEY WAY, LAKESIDE, CA 92040(858) 945-4241 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Hiedi M Chan Ma NPPES

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

HIEDI M CHAN MA (NPI 1497942320) is an individual marriage & family therapist in Lakeside, California, licensed in California (50813) and active in the NPI registry since September 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1497942320
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameHIEDI M CHANCredential: MA
Location Address13037 YERBA VALLEY WAYLakeside, CA 92040-1567
Mailing Address2423 Camino Del Rio S Ste 101San Diego, CA 92108-3734 · (858) 945-4241
Phone(858) 945-4241
Sole ProprietorYes
Enumeration DateSeptember 25, 2007
Last NPPES UpdateFebruary 26, 2016
✔ NPI 1497942320 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 · 50813
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.
13037 YERBA VALLEY WAY, Lakeside, CA 92040
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Hiedi M Chan Ma 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

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 Hiedi Chan's NPI number?

The NPI number for Hiedi Chan is 1497942320. It was assigned to this individual provider in the NPPES registry on September 25, 2007.

Where is Hiedi Chan located?

Hiedi Chan practices at 13037 Yerba Valley Way, Lakeside, CA 92040. The listed phone number is (858) 945-4241.

What is Hiedi Chan's specialty?

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

Is Hiedi Chan enrolled in Medicare?

No. Hiedi Chan 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 Hiedi Chan was last updated on February 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.