Chanell Nash, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88166 Issued in TX

Practice address

4115 Medical Dr
San Antonio, TX 78229-5657

Phone

(210) 667-8704

NPI assigned

Dec 27, 2023

Last updated

Dec 27, 2023By the provider in NPPES

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Round Rock Outpatient Care PLLCGroup PAC ID 7719407717, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bandera Family Hospital Hospital, San Antonio, TX, CCN 670336

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Round Rock Outpatient Care PLLC

  • Primary Care Nurse Practitioner
  • Cedar Park, TX
  • NPI 1891549366

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Brushy Creek Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Round Rock, TX
  • NPI 1235773151

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bandera Family Hospital LLC

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1003539073
  Care Compare affiliation

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1386413714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 ARCADIAN LILY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782454876",
            "telephone_number": "210-667-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295657",
            "telephone_number": "210-667-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "CHANELL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15940",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "88166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances A Narvaiz, DNP
• Paul Narvid, D.C.
• Alexandra Naschke, PA-C
• Stacy R Naschke, DPT
• Tamiris Nascimento Colson, MS, RDN, LD
• Kelly Elizabeth Nash, APRN, FNP-C
• Michael Lavaughn Nash, PT, MSPT
• Raynelle Nash, PA
• Steven Nash
• Zack A Nash, MD

• Mental Health Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.