Individual provider Active NPI

Chelsea Rae Mitchell, LPC

  • Professional Counselor
  • Katy, TX
National Provider Identifier
1255993192
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
94855 Issued in TX
Practice address
21606 Ivory Gate LN
Katy, TX 77449
Phone
(225) 892-2793
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 94855 TX Primary

Addresses

Primary practice location

21606 Ivory Gate LN
Katy, TX 77449

Mailing address

21606 Ivory Gate LN
Katy, TX 77449-6795
Phone (225) 892-2793

Other practice location 1

21606 Ivory Gate Ln
Katy, TX 77449
Phone (225) 892-2793

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL chelsea.mitchell93@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240813004108 TX Practitioner - Mental Health Counselor 5698213353 Reassigns benefits to 1 organization
I20241112004355 LA Practitioner - Mental Health Counselor 5698213353 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Jul 5, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1 Galleria Blvd
Ste 1900
Metairie, LA 70001
Phone (504) 332-8698

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

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.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1255993192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21606 IVORY GATE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496795",
            "telephone_number": "225-892-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21606 IVORY GATE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77449",
            "telephone_number": "225-892-2793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21606 Ivory Gate Ln",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "77449",
            "country_code": "US",
            "telephone_number": "225-892-2793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHELSEA",
        "middle_name": "RAE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "94855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chelsea.mitchell93@gmail.com",
            "affiliation": "N",
            "address_1": "21606 Ivory Gate Ln",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774496795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.