Individual provider Active NPI

Susan Ruth Chandler, LPCMH

  • Mental Health Counselor
  • Wilmington, DE
National Provider Identifier
1003808973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC0000128 Issued in DE
Practice address
1311 N Rodney St
Wilmington, DE 19806-4259
Phone
(302) 652-6545
Fax
(302) 652-1811
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC0000128 DE Primary

Addresses

Primary practice location

1311 N Rodney St
Wilmington, DE 19806-4259

Mailing address

1311 N Rodney St
Wilmington, DE 19806-4259
Phone (302) 652-6545

Other identifiers 1

IdentifierTypeStateIssuer
1000030235MedicaidDE

Other names 1

  • Susan R Chandler Professional name

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

LicenseStateTypeSpecialty
PC0000128DEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003808973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N RODNEY ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064259",
            "telephone_number": "302-652-6545",
            "fax_number": "302-652-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N RODNEY ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064259",
            "telephone_number": "302-652-6545",
            "fax_number": "302-652-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "SUSAN",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "LPCMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC0000128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000030235",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CHANDLER",
            "middle_name": "R",
            "credential": "LPCMH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.