Chancellor House, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CHANCELLOR HOUSE, LLC

Practice address

5060 N 19TH Ave Ste 214
Phoenix, AZ 85015-3212

Phone

(480) 561-7895

NPI assigned

Jan 11, 2021

Last updated

Jan 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Milissa Andrea Winston, MHS, LASAC

Title

Clinical Director

Phone

(480) 561-7895

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Milissa A Baugh, LMAC

  • Addiction (Substance Use Disorder) Counselor
  • Osawatomie, KS
  • NPI 1619348885
  NPD

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1093304479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 N COFCO CENTER CT UNIT 1151",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086453",
            "telephone_number": "480-561-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 214",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153212",
            "telephone_number": "480-561-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCELLOR HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "WINSTON",
        "authorized_official_first_name": "MILISSA",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-561-7895",
        "authorized_official_credential": "MHS, LASAC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "winstonservices467@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Desktop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5060 N 19th Ave Ste 214",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850153212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mai Ling Chan, MS, CCC-SLP
• Michael Chan
• Nam H Chan, MD
• Ricky Cheukleung Chan, PHARMD, RPH
• Yan Wing Joyce Chan, BCBA
• Mangal Chandarana, DMD
• Deep Chandegara, M.D.
• Chandler Medical Group
• Chandler Medical PLLC (BackFit Health and Spine)
• Justin David Chandler, MD

• Adult Mental Health Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.