Chase C McKinney, LPC – Mental Health Counselor

Key facts

NPI: 1205484342
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 76786 (TX)
Practice address: 9396 Confederate Park Rd
Lakeside, TX 76135-4916
Phone: (817) 542-2111
NPI assigned: Sep 2, 2019
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Pathfinder Counseling and Consulting Mental Health Clinic/Center (Including Community Mental Health Center) · Lakeside, TX · NPI 1053969071

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
76786	TX	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Pathfinder Counseling and Consulting		Current since Sep 8, 2019	Accepting new patients

Locations

9396 Confederate Park Rd
Lakeside, TX 76135
Phone (817) 542-2111

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	76786	TX	Yes

Addresses

Primary practice location

9396 Confederate Park Rd
Lakeside, TX 76135-4916

Mailing address

624 River Rock Dr
Azle, TX 76020-1156
Phone (817) 542-2111

Other providers in Lakeside, TX

Mariella E Clark, LCSW
Kathi Edmonson
Kimberli Paige Edmonson, SLP-ASSISTANT
Noble U. Ezukanma, M.D.
Mainstream Habilitation Services of Texas, Inc.
Pathfinder Counseling and Consulting
Sage Substance Abuse Guidance and Education
Kelle Creecy White, LCSW-S

All providers in Lakeside, TX · Mental Health Counselor in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.