Chacana Gaulden, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC013023 Issued in GA

Practice address

300 Commercial CT Ste F
Savannah, GA 31406-2676

Phone

(912) 503-5744

Fax

(912) 335-6559

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634
  NPD
• Madeleine Shaver, LCSW LLC

  • Clinical Social Worker
  • Savannah, GA
  • NPI 1578070504

  Professional

  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1063134682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COMMERCIAL CT STE 102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063675",
            "telephone_number": "912-503-5744",
            "fax_number": "912-335-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMERCIAL CT STE F",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062676",
            "telephone_number": "912-503-5744",
            "fax_number": "912-335-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAULDEN",
        "first_name": "CHACANA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC013023",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateway Community SVC Board
• Gateway CSB Pharmacy
• Donessa Gattis
• Pamela Gallup Gaudry, MD
• Claudia Nadine Gaughf, M.D.
• Kaitlan Sierra Gaulding
• Sukritika Gaur
• Julie Williams Gauss, D.O.
• Lisa Gauthier, LCSW
• Jonathan Gay, PHARMD

• Professional Counselor in Savannah, GA
• Providers in Savannah, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.