Active NPI
Chantel Lanae Ellsworth, MAED
- School Counselor
- Gilbert, AZ
National Provider Identifier
1114103272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- Practice address
- 2935 S Recker Rd
Gilbert, AZ 85295-7846 - Phone
- (480) 279-7000
- NPI assigned
- Jan 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | AZ | Primary |
Addresses
Primary practice location
2935 S Recker Rd
Gilbert, AZ 85295-7846
Mailing address
2935 S Recker Rd
Gilbert, AZ 85295-7846
Phone (480) 279-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1114103272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2935 S RECKER RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852957846",
"telephone_number": "480-279-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2935 S RECKER RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852957846",
"telephone_number": "480-279-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLSWORTH",
"first_name": "CHANTEL",
"middle_name": "LANAE",
"name_prefix": "Ms.",
"credential": "MAED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-18",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.