Michelle Andrea Chaves, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C6002 Issued in OR

Practice address

292 W 12TH Ave Ste E
Eugene, OR 97401-3482

Phone

(541) 203-2569

NPI assigned

Aug 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bridges Community Health Inc.

  • Mental Health Counselor
  • Cottage Grove, OR
  • NPI 1093249542
  NPD

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1285151845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 W 12TH AVE STE E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013482",
            "telephone_number": "541-203-2569",
            "fax_number": "541-255-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 W 12TH AVE STE E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013482",
            "telephone_number": "541-203-2569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1599 Oak St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974014008",
            "country_code": "US",
            "telephone_number": "541-255-1411",
            "fax_number": "541-255-1412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974242105",
            "country_code": "US",
            "telephone_number": "541-255-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVES",
        "first_name": "MICHELLE",
        "middle_name": "ANDREA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2023-09-12",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500733027",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15054267",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Denee Chase
• Valerie Chase
• Matthew Chasen
• Jennifer Christine Chastain, MS, RD
• Patricia Gabriela Chauca, M.S.
• Alejandra Ivette Chavez Guillen, CRM
• Genick Chavez, CADC I
• Patricia Ann Chavez
• Heather Chavin, MA
• CHC Matters, LLC

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.