Active NPI
Christopher A. Chandler, LMHC
- Mental Health Counselor
- Bellevue, WA
National Provider Identifier
1053567792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00011043
- Practice address
- 2820 Northup Way Ste 105
Bellevue, WA 98004-1438 - Phone
- (425) 289-9589
- Fax
- (425) 576-0654
- NPI assigned
- Aug 13, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00011043 | WA | Primary |
Addresses
Primary practice location
2820 Northup Way Ste 105
Bellevue, WA 98004-1438
Mailing address
2820 Northup Way Ste 105
Bellevue, WA 98004-1438
Phone (425) 289-9589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 18, 2024 through Jan 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00011043 | WA | MD | Mental Health Counselor |
| 6281 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342396800000",
"number": "1053567792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 NORTHUP WAY STE 105",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980041438",
"telephone_number": "425-289-9589",
"fax_number": "425-576-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 NORTHUP WAY STE 105",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980041438",
"telephone_number": "425-289-9589",
"fax_number": "425-576-0654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "CHRISTOPHER",
"middle_name": "A.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-13",
"last_updated": "2012-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00011043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.