Organization Active NPI

Jackie R. Chessen Consulting

  • Early Intervention Provider Agency
  • Queens Village, NY
National Provider Identifier
1265809172
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
081431 Issued in NY
Legal business name
JACKIE R. CHESSEN CONSULTING
Practice address
221-17 91 Road
Queens Village, NY 11428
Phone
(516) 965-1009
NPI assigned
Aug 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Jackie Rose Chessen, LCSW
Title
Owner
Phone
(516) 965-1009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 081431 NY Primary

Addresses

Primary practice location

221-17 91 Road
Queens Village, NY 11428

Mailing address

221-17 91 Road
Queens Village, NY 11428
Phone (516) 965-1009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1265809172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221-17 91 ROAD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11428",
            "telephone_number": "516-965-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221-17 91 ROAD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11428",
            "telephone_number": "516-965-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE R. CHESSEN CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "CHESSEN",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-965-1009",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "081431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.