Active NPI
Cathy Chidester, LPCC
- Mental Health Counselor
- Chaparral, NM
National Provider Identifier
1275826240
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0138451
- Practice address
- 204 Autumn Sage LN
Chaparral, NM 88081-7732 - Phone
- (575) 824-4388
- NPI assigned
- May 24, 2011
- Last updated
- Nov 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0138451 | NM | Primary |
Addresses
Primary practice location
204 Autumn Sage LN
Chaparral, NM 88081-7732
Mailing address
204 Autumn Sage Lane
Chapprral, NM 88202-1978
Phone (575) 824-4388
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0138451 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca Jane Knowles | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Chaparral Counseling Services
- Mental Health Counselor
- Chaparral, NM
- NPI 1255639332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1275826240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 AUTUMN SAGE LANE",
"city": "CHAPPRRAL",
"state": "NM",
"postal_code": "882021978",
"telephone_number": "575-824-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 AUTUMN SAGE LN",
"city": "CHAPARRAL",
"state": "NM",
"postal_code": "880817732",
"telephone_number": "575-824-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIDESTER",
"first_name": "CATHY",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0138451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chaparral, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.