Individual provider Active NPI

Donald Stanley Chandler, Jr., PH.D., LPC

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1467517839
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17388 Issued in TX
Practice address
424 S Corinth Street Rd
Dallas, TX 75203-3418
Phone
(214) 946-3676
Fax
(214) 941-0579
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 17388 TX Primary

Addresses

Primary practice location

424 S Corinth Street Rd
Dallas, TX 75203-3418

Mailing address

424 S Corinth Street Rd
Dallas, TX 75203-3418
Phone (214) 946-3676

Other identifiers 1

IdentifierTypeStateIssuer
1491524-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
17388TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cca Behavioral Health, PLLC Mental Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1467517839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 S CORINTH STREET RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752033418",
            "telephone_number": "214-946-3676",
            "fax_number": "214-941-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S CORINTH STREET RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752033418",
            "telephone_number": "214-946-3676",
            "fax_number": "214-941-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER,",
        "first_name": "DONALD",
        "middle_name": "STANLEY",
        "name_suffix": "Jr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1491524-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.