Active NPI
Susie Chavez, ASW
- Mental Health Counselor
- Dinuba, CA
National Provider Identifier
1205384682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 72448
- Practice address
- 144 S L St
Dinuba, CA 93618-2323 - Phone
- (559) 591-6680
- Fax
- (559) 591-6684
- NPI assigned
- Sep 14, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 72448 | CA | Primary |
Addresses
Primary practice location
144 S L St
Dinuba, CA 93618-2323
Mailing address
144 S L St
Dinuba, CA 93618-2323
Phone (559) 591-6680
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
| License | State | Type | Specialty |
|---|---|---|---|
| 72448 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1205384682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 S L ST",
"city": "DINUBA",
"state": "CA",
"postal_code": "936182323",
"telephone_number": "559-591-6680",
"fax_number": "559-591-6684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 S L ST",
"city": "DINUBA",
"state": "CA",
"postal_code": "936182323",
"telephone_number": "559-591-6680",
"fax_number": "559-591-6684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "SUSIE",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "72448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dinuba, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.