Undefeated Healthcare

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

UNDEFEATED HEALTHCARE

Doing business as

Undefeated Healthcare

Practice address

112 Watercourse Dr
Ranson, WV 25438-4015

Phone

(304) 270-8179

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Chase C Butala, MS CRC LPCNPI 1215347687

Title

Owner

Phone

(304) 270-8179

Specialties & licenses 1

Addresses

Other names 1

• Undefeated Healthcare Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chase C Butala, CRC, LPC

  • Professional Counselor
  • Gainesville, VA
  • NPI 1215347687
  NPD Authorized official

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1134727340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WATERCOURSE DR",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254384015",
            "telephone_number": "304-270-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WATERCOURSE DR",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254384015",
            "telephone_number": "304-270-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDEFEATED HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "BUTALA",
        "authorized_official_first_name": "CHASE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-270-8179",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS CRC LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Undefeated Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Todd
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• Walgreen Co. (Walgreens #18956)

• Professional Counselor in Ranson, WV
• Providers in Ranson, WV by specialty
• Professional Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.