Karlissa Kay Chandler

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1402 Village Dr Ste a
Victoria, TX 77901-4157

Phone

(361) 894-8734

NPI assigned

Dec 10, 2019

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

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.

• Raul R Capitaine Mdpa

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1548445075

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1437796349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 VILLAGE DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014156",
            "telephone_number": "361-894-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 VILLAGE DR STE A",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014157",
            "telephone_number": "361-894-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "KARLISSA",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Edward Celentano, D.O.
• Certified Prosthetics & Orthotics, Inc.
• Sherry P Chambliss, LPC
• Chand Medical Practice Professional Limited Liability Company
• Kishan Chand, M.D.
• Harish Chandna, MD
• Craig Ge-Sheng Chang, M.D.
• Charles E. Rader, D.D.S.
• Tracy Dawn Chase, LPC
• Michelle A Chavez, MA

• Mental Health Counselor in Victoria, TX
• Providers in Victoria, 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 10, 2019; 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.