Kristin Chace

Primary specialty

CounselorTaxonomy code 101Y00000X

License

39003388A Issued in IN

Practice address

2626 Saint Joe Center Rd
Fort Wayne, IN 46825-5042

Phone

(260) 497-0328

NPI assigned

Mar 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Hand in Hand Comprehensive Therapy Specialists Inc

  • Occupational Therapist
  • Fort Wayne, IN
  • NPI 1942465679

  Counselor

  NPD
• Hand in Hand Therapy

  • Early Intervention Provider Agency
  • Fort Wayne, IN
  • NPI 1912551524
  NPD (past)

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668816000000",
    "number": "1154882900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 MAJESTIC DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174868",
            "telephone_number": "724-250-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 SAINT JOE CENTER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255042",
            "telephone_number": "260-497-0328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2013 Majestic Dr",
            "address_purpose": "LOCATION",
            "city": "Canonsburg",
            "state": "PA",
            "postal_code": "153174868",
            "country_code": "US",
            "telephone_number": "724-250-8497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHACE",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-11-19",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "39003388A",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC013707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Vein Restoration in, LLC
• Anthony B Centlivre
• Victor H Cepeda, MD
• Manuel I. Cervoni, MD
• Bilal Chaarani, M.D.
• Chaffee Consulting, Inc.
• Courtney Elizabeth Chaffee, MSW
• Jamie Chaffee, PA-C
• Jennifer Lynn Chaffee, RN, MSN-FNP-BC
• Harasees Chahal, DDS

• Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2022; 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.