Chale Consulting Services

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CHALE CONSULTING SERVICES

Practice address

1800 Clinton Ave
Minneapolis, MN 55404-2468

Phone

(612) 644-3380

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Simone Fuller, LICSWNPI 1891339271

Title

President

Phone

(612) 644-3380

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Simone Chale Fuller

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1891339271
  NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1306414685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CLINTON AVE APT 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042469",
            "telephone_number": "612-644-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CLINTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042468",
            "telephone_number": "612-644-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALE CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-644-3380",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER",
            "identifier": "1891339271",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Chaffin, DPT
• Lindsay Joy Chagnon, RN
• Jeremy Ross Chaikind, MD
• Nicole Chaisson, M.D.
• Rima Chakraborty
• Olivia Chall, IBCLC
• Leah Marie Boyd Challberg, MSW, LICSW
• Ulmai Chally
• Morgen Chalmiers, MD, PHD
• Jessica Chamberlain

• Adolescent and Children Mental Health Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adolescent and Children Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.