Individual provider Active NPI

Casey Chase Chick, M.A., L.P.C.

  • Professional Counselor
  • Arlington, TX
National Provider Identifier
1104127455
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65105 Issued in TX
Practice address
1700 Covemeadow Dr
Arlington, TX 76012-5407
Phone
(972) 836-9387
NPI assigned
Nov 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 65105 TX Primary

Addresses

Primary practice location

1700 Covemeadow Dr
Arlington, TX 76012-5407

Mailing address

1700 Covemeadow Dr
Arlington, TX 76012-5407
Phone (972) 836-9387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325000282 TX Practitioner - Mental Health Counselor 5395186241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1700 Covemeadow Dr
Arlington, TX 76012-5407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
65105TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond the Gray Sky LLC CurrentSince Apr 7, 2011 Accepting new patients
Pursuit of Happiness Healthcare LLC CurrentSince Nov 21, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1104127455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 COVEMEADOW DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760125407",
            "telephone_number": "972-836-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 COVEMEADOW DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760125407",
            "telephone_number": "972-836-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICK",
        "first_name": "CASEY",
        "middle_name": "CHASE",
        "name_prefix": "Mr.",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-03",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.