Active NPI
Ann Chastain-Homick, RN, MHR, LPC, BCPC
- Professional Counselor
- Denton, TX
National Provider Identifier
1124265913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61698
- Practice address
- 914 N Locust St
Denton, TX 76201-2954 - Phone
- (940) 387-6250
- Fax
- (940) 387-6274
- NPI assigned
- Jan 15, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 61698 | TX | Primary |
Addresses
Primary practice location
914 N Locust St
Denton, TX 76201-2954
Mailing address
914 N. Locust Street
Denton, TX 76201
Phone (940) 387-6250
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61698 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1124265913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 N. LOCUST STREET",
"city": "DENTON",
"state": "TX",
"postal_code": "76201",
"telephone_number": "940-387-6250",
"fax_number": "940-387-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 N LOCUST ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762012954",
"telephone_number": "940-387-6250",
"fax_number": "940-387-6274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASTAIN-HOMICK",
"first_name": "ANN",
"credential": "RN, MHR, LPC, BCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-15",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.