Ellen E Chesnut, RN LMFT INDIANA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

35000689A Issued in IN

Practice address

1050 Ribaut Rd
Coastal Empire Community Mental Health Center
Beaufort, SC 29902-5400

Phone

(843) 524-8899

Fax

(843) 524-8179

NPI assigned

Apr 19, 2007

Last updated

Mar 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1043437270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 RIBAUT RD",
            "address_2": "COASTAL EMPIRE COMMUNITY MENTAL HEALTH CENTER",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025400",
            "telephone_number": "843-524-8899",
            "fax_number": "843-524-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 RIBAUT RD",
            "address_2": "COASTAL EMPIRE COMMUNITY MENTAL HEALTH CENTER",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025400",
            "telephone_number": "843-524-8899",
            "fax_number": "843-524-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESNUT",
        "first_name": "ELLEN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "RN LMFT INDIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35000689A",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28050102A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleston ENT Associates LLC (Beaufort ENT and Allergy)
• Charleston Pathology PA
• Charleston Vamc
• Natasha Chavez
• Frances Pringle Cherry, OTR/L
• Christine T Chiaviello, MD
• Celestin Chicos, MD
• Braden Childers
• Shenika Chisolm
• Chris Mohler, DDS, LLC

• Marriage & Family Therapist in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Marriage & Family Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.