Active NPI
Andrew Scott Caldwell
- Mental Health Counselor
- Chico, CA
National Provider Identifier
1164080453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 83936
- Practice address
- 560 Cohasset Rd Ste 180
Chico, CA 95926-2460 - Phone
- (530) 891-2810
- NPI assigned
- May 31, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 83936 | CA | Primary |
Addresses
Primary practice location
560 Cohasset Rd Ste 180
Chico, CA 95926-2460
Mailing address
101 Ahwahnee CMNS Apt 61
Chico, CA 95928-8436
Phone (818) 606-8008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83936 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Butte | Current | Accepting new patients | |
| County of Butte | Current | Accepting new patients | |
| County of Butte | Single Specialty | Current | Accepting new patients |
Locations
560 Cohasset Rd
Ste 175
Chico, CA 95926
Phone (530) 552-5076
3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578
995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Paradise, CA
- NPI 1174161343
-
- Community/Behavioral Health Agency
- Chico, CA
- NPI 1750683801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1164080453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 AHWAHNEE CMNS APT 61",
"city": "CHICO",
"state": "CA",
"postal_code": "959288436",
"telephone_number": "818-606-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 COHASSET RD STE 180",
"city": "CHICO",
"state": "CA",
"postal_code": "959262460",
"telephone_number": "530-891-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "ANDREW",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-31",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "83936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.