Individual provider Active NPI

Sharon L. Chandler, LAC,CCGC,CCDP

  • Addiction (Substance Use Disorder) Counselor
  • Ruston, LA
National Provider Identifier
1043591910
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1224 Issued in LA
Practice address
602 E Georgia Ave
Ruston, LA 71270-3931
Phone
(318) 251-4125
Fax
(318) 251-5000
NPI assigned
Sep 6, 2011
Last updated
Sep 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1224 LA Primary

Addresses

Primary practice location

602 E Georgia Ave
Ruston, LA 71270-3931

Mailing address

602 E Georgia Ave
Ruston, LA 71270-3931
Phone (318) 251-4125

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
1224LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1043591910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E GEORGIA AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703931",
            "telephone_number": "318-251-4125",
            "fax_number": "318-251-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E GEORGIA AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703931",
            "telephone_number": "318-251-4125",
            "fax_number": "318-251-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "SHARON",
        "middle_name": "L.",
        "credential": "LAC,CCGC,CCDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.