Shauna R. Chacon

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6796437-6009 Issued in UT

Practice address

50 N Main St
Tooele, UT 84074-2139

Phone

(435) 850-8723

NPI assigned

Oct 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• C Hakes LLC

  dba Streamline Billing Solutions

  • Community/Behavioral Health Agency
  • Tooele, UT
  • NPI 1487191581
  NPD (past)

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1417109752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900245",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840900245",
            "telephone_number": "801-634-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742139",
            "telephone_number": "435-850-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "SHAUNA",
        "middle_name": "R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "6796437-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha D Carter, CASE MANAGER
• Blaine Johnson Cashmore, MD
• Cedar Creek Family Health Care LLC
• Barbara T Cederlof
• Center for Individual Responsibility (CIRCLE Treatment)
• Norhan Aziz Chacopulos
• Chelsie M Chadwick Haynes
• Tami Chavez
• Shane Cheney, RRT
• Amanda C Chervenick, CCM

• Counselor in Tooele, UT
• Providers in Tooele, UT by specialty
• Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.