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EZRIMAYR CHIOMA M.A. LMFT
NPI 1578711248
Marriage & Family Therapist in Berkeley, CA

Active since September 05, 2008PECOS Enrolled
1918 BONITA AVE, BERKELEY, CA 94704(415) 877-1507 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 13, 2025, Jan 30, 2020, Mar 22, 2018 and 1 more (4 updates tracked since 2018).

About Ezrimayr Chioma M.a. Lmft NPPES

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

EZRIMAYR CHIOMA M.A. LMFT (NPI 1578711248) is an individual marriage & family therapist in Berkeley, California, licensed in California (97369) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1578711248
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameEZRIMAYR CHIOMACredential: M.A. LMFT
Location Address1918 BONITA AVEBerkeley, CA 94704-1014
Mailing AddressPo Box 5242Richmond, CA 94805-0242 · (415) 877-1507
Phone(415) 877-1507
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 5, 2008
Last NPPES UpdateJanuary 30, 20204 updates tracked since enumeration
✔ NPI 1578711248 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 · 97369
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.
1918 BONITA AVE, Berkeley, CA 94704
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ezrimayr Chioma M.a. Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173011764
PECOS Enrollment IDI20251024001623
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 Ezrimayr Chioma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
43 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 10

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

SHARI GLEICHER LCSW
Social Worker (Clinical)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (510) 519-4650
MS. KATHLEEN MARIE LESLIE LCSW
Social Worker (Clinical)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (510) 428-2821
MISS TRACY L DAVIS L.C.S.W.
Social Worker (Clinical)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (510) 381-4191
KELLY ANNE BASSIN LMFT
Counselor
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (209) 980-7707
JUSTIN SURACHAI TANYAVUTTI LPCC
Counselor (Professional)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (703) 261-9973
SOPHIA GENONE PH.D.
Psychologist (Clinical)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (510) 290-3273
MADELINE RAZAVI LCSW
Social Worker (Clinical)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (510) 990-2306
ALEJANDRA OJEDA-BECK
Psychologist (School)
1918 BONITA AVE
BERKELEY, CA 94704
Alameda County (510) 306-1649

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 Ezrimayr Chioma's NPI number?

The NPI number for Ezrimayr Chioma is 1578711248. It was assigned to this individual provider in the NPPES registry on September 5, 2008.

Where is Ezrimayr Chioma located?

Ezrimayr Chioma practices at 1918 Bonita Ave, Berkeley, CA 94704. The listed phone number is (415) 877-1507.

What is Ezrimayr Chioma's specialty?

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

Is Ezrimayr Chioma enrolled in Medicare?

Yes. Ezrimayr Chioma is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ezrimayr Chioma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ezrimayr Chioma reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Ezrimayr Chioma'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 Ezrimayr Chioma was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.