Individual provider Active NPI

Elden Verlin Chalmers, M.F.T

  • Addiction (Substance Use Disorder) Counselor
  • Danville, CA
National Provider Identifier
1134487077
Registry record updated Apr 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MV18244 Issued in CA
Practice address
2050 Diablo Rd Apt a
Danville, CA 94506-2021
Phone
(925) 216-1368
NPI assigned
Apr 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MV18244 CA Primary
Mental Health Counselor 101YM0800X MV18244 CA
Behavior Analyst 103K00000X MV18244 CA

Addresses

Primary practice location

2050 Diablo Rd Apt a
Danville, CA 94506-2021

Mailing address

2050 Diablo Rd Apt a
Danville, CA 94506-2021
Phone (925) 216-1368

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

State licenses

LicenseStateTypeSpecialty
MV18244CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1335657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335657600000",
    "number": "1134487077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 DIABLO RD APT A",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945062021",
            "telephone_number": "925-216-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 DIABLO RD APT A",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945062021",
            "telephone_number": "925-216-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALMERS",
        "first_name": "ELDEN",
        "middle_name": "VERLIN",
        "credential": "M.F.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-29",
        "last_updated": "2012-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "MV18244",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MV18244",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "MV18244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2012; 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.