Chauncy Christian Doan, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701013906 Issued in VA

Practice address

210 Calhoun St
Galax, VA 24333-3806

Phone

(276) 601-2749

NPI assigned

Aug 28, 2024

Last updated

Aug 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Supportive Care of Virginia LLC

  • Clinical Psychologist
  • Colonial Heights, VA
  • NPI 1801485354
  Medicare reassignment NPD
• Body and Mindfully Healthy, LLC

  • Mental Health Counselor
  • Galax, VA
  • NPI 1952987034
  NPD (past)

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1134953672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 MAGNOLIA LN APT A",
            "city": "RURAL RETREAT",
            "state": "VA",
            "postal_code": "243686091",
            "telephone_number": "276-613-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CALHOUN ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243333806",
            "telephone_number": "276-601-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "CHAUNCY",
        "middle_name": "CHRISTIAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701013906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DLP Twin County Regional Healthcare LLC
• DLP Twin County Regional Healthcare LLC
• DLP Twin County Regional Healthcare LLC
• DLP Twin County Regional Healthcare LLC
• DLP Twin County Regional Healthcare LLC
• Patricia Ann Draughan, BSW, CSAC-R
• Emily Dykema
• Amy M Edwards
• Delea Dawn Edwards, CPHT
• Karen Lynn Edwards, MED, LPC, LSATP,CSAC

• Mental Health Counselor in Galax, VA
• Providers in Galax, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.