Chesly Suzanne Herd, L.P.C., L.C.D.C.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

62679 Issued in TX

Practice address

308 Carol LN
Midland, TX 79705-3027

Phone

(432) 288-2450

Fax

(432) 685-6413

NPI assigned

Jan 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1295031854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CAROL LN",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797053027",
            "telephone_number": "432-288-2450",
            "fax_number": "432-685-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CAROL LN",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797053027",
            "telephone_number": "432-288-2450",
            "fax_number": "432-685-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERD",
        "first_name": "CHESLY",
        "middle_name": "SUZANNE",
        "name_prefix": "Prof.",
        "credential": "L.P.C., L.C.D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "62679",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Midland, TX
• Providers in Midland, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.