Charu Saxena Chandra, LCPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.008500 Issued in IL

Practice address

1142 Chicago Ave Ste 2E
Oak Park, IL 60302-1837

Phone

(312) 479-4779

Fax

(708) 779-6131

NPI assigned

Mar 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1013259944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 MEADOW LN",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275414",
            "telephone_number": "630-400-8597",
            "fax_number": "630-654-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 CHICAGO AVE STE 2E",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021837",
            "telephone_number": "312-479-4779",
            "fax_number": "708-779-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "CHARU",
        "middle_name": "SAXENA",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008500",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10662125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Championz Korner PLLC
• Eunice Chan, D.O.
• Pei Hsuan Chan, DO
• Sameer Bipan Chand
• Chandler Ledray, LCSW, PLLC
• Shuying Chang, NP
• Change Formation LLC
• Change Resources Inc
• Changing Perceptions Couples Clinic PLLC
• Channels 4 Change, LLC

• Professional Counselor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.