Organization Active NPI

Chancellor Professional Counseling Services PLLC

  • Professional Counselor
  • Round Rock, TX
National Provider Identifier
1104475821
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHANCELLOR PROFESSIONAL COUNSELING SERVICES PLLC
Practice address
Heritage Office Suites
1000 Heritage Center
Round Rock, TX 78664-7866
Phone
(936) 933-4392
NPI assigned
Sep 5, 2019
Last updated
Sep 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Mrs. Anna Lee Chancellor, LPC-S
Title
President
Phone
(936) 933-4392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

Heritage Office Suites
1000 Heritage Center
Round Rock, TX 78664-7866

Mailing address

Heritage Office Suites
1000 Heritage Center
Round Rock, TX 78664
Phone (936) 933-4392

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL GSuite Direct
CONNECT URL GSuite Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1104475821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HERITAGE OFFICE SUITES",
            "address_2": "1000 HERITAGE CENTER",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "936-933-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HERITAGE OFFICE SUITES",
            "address_2": "1000 HERITAGE CENTER",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647866",
            "telephone_number": "936-933-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCELLOR PROFESSIONAL COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "CHANCELLOR",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-933-4392",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GSuite",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant GSuite software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "760 Bent Wood Pl",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786651174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GSuite",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant GSuite software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "760 Bent Wood Pl",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786651174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.