Angela Shelton Chandler

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC05392 Issued in AL

Practice address

2008 Antietam Ave
Tuscaloosa, AL 35406-1729

Phone

(205) 586-0584

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• AL HMO
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• AL HMO D-SNP

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1003698101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 ANTIETAM AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061729",
            "telephone_number": "205-586-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 ANTIETAM AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061729",
            "telephone_number": "205-586-0584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "AL",
            "postal_code": "354765057",
            "country_code": "US",
            "telephone_number": "205-586-0584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "ANGELA",
        "middle_name": "SHELTON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC05392",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H Chambers IV, CRNP
• Holly Diane Chambliss, M.D.
• Champion Home Care LLC
• Nicole W. Champion, PHARMD
• Heath R Chancey, LPC
• Deepak Chandramohan, M.D
• Ranju Chandrashekariah, M.D.
• Changing Seasons Therapy and Consulting, PLLC
• Laronda Williamson Channell, RPH
• Corliss Chappell

• Professional Counselor in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.