Chinchilla Counseling and Coaching

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CHINCHILLA COUNSELING AND COACHING

Practice address

7643 Gate Pkwy # 104-1034
Jacksonville, FL 32256-3092

Phone

(904) 649-2665

NPI assigned

Nov 29, 2021

Organization subpart

No

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

Authorized official

Name

Cristina Chinchilla, LCSWNPI 1073051082

Title

Owner

Phone

(904) 649-2671

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cristina Chinchilla, LCSW

  • Social Worker
  • Jacksonville, FL
  • NPI 1073051082
  NPD Authorized official

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1265199095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 GATE PKWY # 104-1034",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563092",
            "telephone_number": "904-649-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7643 GATE PKWY # 104-1034",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563092",
            "telephone_number": "904-649-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINCHILLA COUNSELING AND COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "CHINCHILLA",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-649-2671",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pankaj Paul Chillar, M.D.
• Sarah Chilson, NP, CNS
• Autumn Lee Chim, PA-C
• Angela Chin, LMT
• Rachel Chin
• Cristina Chinchilla, LCSW
• Ana Maria Chindris, M.D.
• Karen Beatrice Salud Ching-Tismal, M.D.
• Melanie Ching
• Elisabeth Morley Chinlund, ARNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.