Active NPI
Clyde Franklin Chambers, MA
- Mental Health Counselor
- Aurora, CO
National Provider Identifier
1467538587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 321
- Practice address
- 1646 Elmira St
Aurora, CO 80010-2122 - Phone
- (303) 617-2424
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 321 | CO | Primary |
| Marriage & Family Therapist | 106H00000X | 321 | CO |
Addresses
Primary practice location
1646 Elmira St
Aurora, CO 80010-2122
Mailing address
11059 E Bethany Dr
Suite 200
Aurora, CO 80014-2622
Phone (303) 617-2323
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 321 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1467538587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11059 E BETHANY DR",
"address_2": "SUITE 200",
"city": "AURORA",
"state": "CO",
"postal_code": "800142622",
"telephone_number": "303-617-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1646 ELMIRA ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800102122",
"telephone_number": "303-617-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERS",
"first_name": "CLYDE",
"middle_name": "FRANKLIN",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "321",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "321",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.