Active NPI
Jeffrey Longstreet Chilton, M.A., L.M.H.C.
- Mental Health Counselor
- New York, NY
National Provider Identifier
1285775445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 000572
- Practice address
- 80 8TH Ave Ste 1018
New York, NY 10011-5126 - Phone
- (917) 699-9488
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 000572 | NY | Primary |
Addresses
Primary practice location
80 8TH Ave Ste 1018
New York, NY 10011-5126
Mailing address
8400 Boulevard E Apt 2C
North Bergen, NJ 07047-6067
Phone (917) 699-9488
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1285775445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 BOULEVARD E APT 2C",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070476067",
"telephone_number": "917-699-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 8TH AVE STE 1018",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115126",
"telephone_number": "917-699-9488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILTON",
"first_name": "JEFFREY",
"middle_name": "LONGSTREET",
"credential": "M.A., L.M.H.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "000572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.