Individual provider Active NPI

Chantelle Denise McChristian, MA, LLPC, NCC

  • Counselor
  • Auburn Hills, MI
National Provider Identifier
1043776032
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401017017 Issued in MI
Practice address
2399 E Walton Blvd
Auburn Hills, MI 48326-1955
Phone
(248) 475-6300
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401017017 MI Primary

Addresses

Primary practice location

2399 E Walton Blvd
Auburn Hills, MI 48326-1955

Mailing address

24704 Independence Dr Apt 1208
Farmington Hills, MI 48335-1720
Phone (248) 872-8678

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401017017MIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1043776032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24704 INDEPENDENCE DR APT 1208",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483351720",
            "telephone_number": "248-872-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 E WALTON BLVD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483261955",
            "telephone_number": "248-475-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCHRISTIAN",
        "first_name": "CHANTELLE",
        "middle_name": "DENISE",
        "name_prefix": "Miss",
        "credential": "MA, LLPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401017017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.