Individual provider Active NPI

Janet S. Chartrand, RN, LCSW. LPC, NCC

  • Clinical Social Worker
  • O Fallon, MO
National Provider Identifier
1215080320
Registry record updated Jan 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002652 Issued in MO
Practice address
4132 Keaton Crossing Blvd
Suite 201
O Fallon, MO 63368-8222
Phone
(636) 244-3589
Fax
(636) 244-3594
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 002402 MO
Clinical Social Worker 1041C0700X 002652 MO Primary
Registered Nurse 163W00000X 066948 MO

Addresses

Primary practice location

4132 Keaton Crossing Blvd
Suite 201
O Fallon, MO 63368-8222

Mailing address

8361 Ardsley Dr
Saint Louis, MO 63121-4524
Phone (314) 318-1387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20120121000116 MO Practitioner - Clinical Social Worker 1658548284 Reassigns benefits to 1 organization
Practice locations: O Fallon, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Care and Research Center IncGroup PAC ID 3678710506, 4 clinicians

Practice addresses (Care Compare)

4132 Keaton Crossing Blvd
Suite 201
O Fallon, MO 63368-8223
Phone (636) 244-3589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
002402MOMDMental Health Counselor
002652MOMDProfessional Counselor
066948MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Psychiatric Associates, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327795200000",
    "number": "1215080320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8361 ARDSLEY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214524",
            "telephone_number": "314-318-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 KEATON CROSSING BLVD",
            "address_2": "SUITE 201",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688222",
            "telephone_number": "636-244-3589",
            "fax_number": "636-244-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARTRAND",
        "first_name": "JANET",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "RN, LCSW. LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "002402",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002652",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "066948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

Verify at the official NPI Registry.