Randall R Chavez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

59612 Issued in TX

Practice address

790 Generations Dr
Ste 410
New Braunfels, TX 78130-6720

Phone

(830) 625-0599

Fax

(830) 625-5877

NPI assigned

Nov 26, 2008

Sex

Male

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Darla Lane PLLCGroup PAC ID 8527023365, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• TX HMO
• TX HMO D-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Darla Lane PLLC

  • Clinical Social Worker
  • New Braunfels, TX
  • NPI 1952390247
  Medicare reassignment Care Compare group NPD
• Permian Basin Community Centers for MHMR

  • Psychiatry Physician
  • Odessa, TX
  • NPI 1043381924
  NPD (past)
• Permian Basin Community Centers for MHMR

  • Psychiatry Physician
  • Odessa, TX
  • NPI 1073614624
  NPD (past)

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1013162403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 GENERATIONS DR",
            "address_2": "STE 410",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306720",
            "telephone_number": "830-625-0599",
            "fax_number": "830-625-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 GENERATIONS DR",
            "address_2": "STE 410",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306720",
            "telephone_number": "830-625-0599",
            "fax_number": "830-625-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "RANDALL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-26",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "59612",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "59612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalinda Luna Chase, SLP ASSISTANT
• Shelby Lynn Chase
• Tannah Elise Chase, PH.D.
• Jonathan Chavez
• Mariana Chavez
• Sirat Kaur Chehal, APRN-CNP, PMHNP-BC
• Cherri Mettler Counseling Services PLLC
• Cheryl S. Sellers D.D.S. P.a. (Children's Dental Ark)
• Children's Dental Ranch of New Braunfels, PLLC
• Chirohealthcare

• Professional Counselor in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.