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MR. IVAN WAH-CHIANG CHAN LMFT
NPI 1669167771
Marriage & Family Therapist in Ventura, CA

Active since April 06, 2023Opted out of Medicare · through Jan 26, 2028
1771 POLI ST, VENTURA, CA 93001(831) 607-9773 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Ivan Wah-chiang Chan Lmft NPPES

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

MR. IVAN WAH-CHIANG CHAN LMFT (NPI 1669167771) is an individual marriage & family therapist in Ventura, California, licensed in California (LMFT82584) and active in the NPI registry since April 2023. He has opted out of Medicare through January 26, 2028.

NPPES Registry Identity

NPI1669167771
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. IVAN WAH-CHIANG CHANCredential: LMFT
Location Address1771 POLI STVentura, CA 93001-2364
Mailing AddressPo Box 1174Santa Barbara, CA 93102-1174 · (831) 607-9773
Phone(831) 607-9773
Sole ProprietorYes
Enumeration DateApril 6, 2023
NPPES CertifiedApril 6, 2023
✔ NPI 1669167771 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 · LMFT82584
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.
1771 POLI ST, Ventura, CA 93001
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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

Mr. Ivan Wah-chiang Chan Lmft 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 26, 2024 through January 26, 2028.

Opt-Out Effective DateJanuary 26, 2024
Opt-Out In Effect ThroughJanuary 26, 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 Ivan Chan's NPI number?

The NPI number for Ivan Chan is 1669167771. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Ivan Chan located?

Ivan Chan practices at 1771 Poli St, Ventura, CA 93001. The listed phone number is (831) 607-9773.

What is Ivan Chan's specialty?

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

Is Ivan Chan enrolled in Medicare?

No. Ivan Chan has opted out of Medicare through January 26, 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 Ivan Chan was last updated on April 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.