Individual provider Active NPI

Chandra McCain, LICENSED COUNSELOR

  • Pastoral Counselor
  • Joliet, IL
National Provider Identifier
1235723552
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
92 Barney Dr
Joliet, IL 60435-6402
Phone
(630) 410-9536
NPI assigned
Feb 26, 2021
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X NU Primary

Addresses

Primary practice location

92 Barney Dr
Joliet, IL 60435-6402

Mailing address

1772 Alan Deatherage Dr
Bolingbrook, IL 60490-4535
Phone (630) 410-9536

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address TF-ministries@att.net Direct
Other URL totallyfreeministries.net
Other URL Totallyfreeministries.net

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

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1235723552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 ALAN DEATHERAGE DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604904535",
            "telephone_number": "630-410-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BARNEY DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356402",
            "telephone_number": "630-410-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "CHANDRA",
        "credential": "LICENSED COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TF-ministries@att.net",
            "affiliation": "N",
            "endpointDescription": "web address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "92 Barney Dr",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604356402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "totallyfreeministries.net",
            "affiliation": "N",
            "address_1": "92 Barney Dr",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604356402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Totallyfreeministries.net",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "92 Barney Dr",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604356402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.