Chandler Mental Health

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHANDLER MENTAL HEALTH

Doing business as

Chandler & Associates

Practice address

1900 Dunbarton Dr Ste J
Jackson, MS 39216-5015

Phone

(769) 428-1681

Fax

(769) 241-5091

NPI assigned

Feb 3, 2020

Organization subpart

Yes

Parent organization

CHANDLER MENTAL HEALTHAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. TL Chandler, PHD, LPCNPI 1184146938

Title

Ceo

Phone

(769) 428-1681

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chandler & Associates Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

Part of

Chandler Mental Health

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maxie Lerone Gordon, MD

  • Psychiatry Physician
  • Clinton, MS
  • NPI 1427018613
  Medicare reassignment NPD
• TL Chandler, PHD, LPC

  • Counselor
  • Jackson, MS
  • NPI 1184146938
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1003447657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 DUNBARTON DR STE J",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165015",
            "telephone_number": "769-428-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 DUNBARTON DR STE J",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165015",
            "telephone_number": "769-428-1681",
            "fax_number": "769-241-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER MENTAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHANDLER MENTAL HEALTH",
        "enumeration_date": "2020-02-03",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "TL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "769-428-1681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06305302",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jackson",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1900 Dunbarton Dr Ste G",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392165015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Chandler & Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chandler & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney Champlin
• Wayne Fai Chan, MD
• Yieshan Melissa Chan, M.D.
• Suzanne Chance, D.M.D.
• Gail Chancellor, NP
• Brittany Chandler
• Brittany E Chandler, LCSW
• Derrick Lorone Chandler
• James Kevin Chandler, M.D.
• Lejeune Chandler, LCSW

• Mental Health Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.