CHARISSA KIM ALLEN
NPI 1760253132
Marriage & Family Therapist in Santa Ana, CA

Q: What is Charissa Allen's NPI number?

The NPI number for Charissa Allen is 1760253132. It was assigned to this individual provider in the NPPES registry on January 12, 2024.

Q: What is Charissa Allen's specialty?

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

Q: Is Charissa Allen enrolled in Medicare?

No. Charissa Allen has opted out of Medicare through May 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Charissa Allen was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 12, 2024Opted out of Medicare · through May 21, 2028

1633 E 4TH ST STE 120, SANTA ANA, CA 92701(714) 558-9266 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Charissa Kim Allen NPPES

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

CHARISSA KIM ALLEN (NPI 1760253132) is an individual marriage & family therapist in Santa Ana, California and active in the NPI registry since January 2024. She has opted out of Medicare through May 21, 2028.

NPPES Registry Identity

NPI1760253132

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCHARISSA KIM ALLEN

Location Address1633 E 4TH ST STE 120Santa Ana, CA 92701-5143

Mailing Address1633 E 4th St Ste 120Santa Ana, CA 92701-5143

Phone(714) 558-9266

Sole ProprietorNo

Enumeration DateJanuary 12, 2024

NPPES CertifiedJanuary 12, 2024

✔ NPI 1760253132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

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.

1633 E 4TH ST STE 120, Santa Ana, CA 92701

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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

Charissa Kim Allen 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 May 21, 2024 through May 21, 2028.

Opt-Out Effective DateMay 21, 2024

Opt-Out In Effect ThroughMay 21, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

JAMES MASTELLER

Marriage & Family Therapist