Active NPI
Yameen Abdul-Nur Chestnut, LMFT
- Marriage & Family Therapist
- Indianapolis, IN
National Provider Identifier
1003179508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 85000180A
- Practice address
- 7165 Clearvista Way
Indianapolis, IN 46256-4621 - Phone
- (317) 621-5100
- NPI assigned
- Jun 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Marriage & Family Therapist | 106H00000X | 85000180A | IN | Primary |
Addresses
Primary practice location
7165 Clearvista Way
Indianapolis, IN 46256-4621
Mailing address
7945 Fox Run Rd
Indianapolis, IN 46278-1227
Other practice location 1
7945 Fox Run Rd
Indianapolis, IN 46278-1227
Phone (317) 716-7300
Other practice location 2
3500 S LaFountain St
Kokomo, IN 46902-3803
Phone (765) 453-8555
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | YCHESTNUT113633@CHN.DIRECT-CI-CERT.COM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85000180A | IN | MD | Marriage & Family Therapist |
Interoperability endpoints
- ychestnut113633@chn.direct-ci-cert.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1003179508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7945 FOX RUN RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7165 CLEARVISTA WAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564621",
"telephone_number": "317-621-5100"
}
],
"practiceLocations": [
{
"address_1": "7945 Fox Run Rd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462781227",
"country_code": "US",
"telephone_number": "317-716-7300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3500 S LaFountain St",
"address_purpose": "LOCATION",
"city": "Kokomo",
"state": "IN",
"postal_code": "469023803",
"country_code": "US",
"telephone_number": "765-453-8555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHESTNUT",
"first_name": "YAMEEN",
"middle_name": "ABDUL-NUR",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-19",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "85000180A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "YCHESTNUT113633@CHN.DIRECT-CI-CERT.COM",
"affiliation": "N",
"address_1": "7165 Clearvista Way",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462564621",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.