Individual provider Active NPI

Yen Chu Chen, MS

  • Mental Health Counselor
  • Louisville, MS
National Provider Identifier
1043720295
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
507 W Main St
Louisville, MS 39339-2559
Phone
(662) 773-9377
Fax
(662) 773-9025
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2453 MS
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

507 W Main St
Louisville, MS 39339-2559

Mailing address

PO Box 1336
West Point, MS 39773-1336
Phone (662) 524-4347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20260219004065 GA Practitioner - Mental Health Counselor 4789165515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5117 Arbor Village Dr
Duluth, GA 30096-4974

5975 Pkwy N Blvd
Suite 300D
Cumming, GA 30040-1226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2453MSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Forward Counseling and Consulting, Inc CurrentSince Feb 6, 2026 Accepting new patients
Region Seven Mental Health Idd Commission Mental Health Past Accepting new patients
Region Seven Mental Health Intellectual Disabilities Comm Past Accepting new patients
Region Seven Mental Health Intellectual Disabilities Comm Mental Health PastSince Sep 1, 2024 Accepting new patients

Locations

5975 Parkway North Blvd
Ste 300D
Cumming, GA 30040
Phone (404) 388-3909

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1043720295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1336",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397731336",
            "telephone_number": "662-524-4347",
            "fax_number": "662-524-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392559",
            "telephone_number": "662-773-9377",
            "fax_number": "662-773-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YEN CHU",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "2453",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, MS

Sources for this page

Verify at the official NPI Registry.