Active NPI
Valerie Chastain, CADC
- Addiction (Substance Use Disorder) Counselor
- Geoegetown, DE
National Provider Identifier
1053447045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 652
- Practice address
- 20728 Dupont Hwy.
Geoegetown, DE 19947 - Phone
- (302) 854-0172
- NPI assigned
- Feb 26, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 652 | DE | Primary |
Addresses
Primary practice location
20728 Dupont Hwy.
Geoegetown, DE 19947
Mailing address
1241 College Park Dr
Dover, DE 19904-8713
Phone (302) 735-7790
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000030488 | Medicaid | DE | |
| 1000022553 | Medicaid | DE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 652 | DE | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1053447045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 COLLEGE PARK DR",
"city": "DOVER",
"state": "DE",
"postal_code": "199048713",
"telephone_number": "302-735-7790",
"fax_number": "302-735-3654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20728 DUPONT HWY.",
"city": "GEOEGETOWN",
"state": "DE",
"postal_code": "19947",
"telephone_number": "302-854-0172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASTAIN",
"first_name": "VALERIE",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "DE",
"license": "652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000030488",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000022553",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.