Active NPI
Shaun Chesnut
- Mental Health Counselor
- Watsonville, CA
National Provider Identifier
1467710509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 365 Whiskeyhill Rd.
Watsonville, CA 95076 - Phone
- (831) 724-9333
- NPI assigned
- Apr 26, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
365 Whiskeyhill Rd.
Watsonville, CA 95076
Mailing address
365 Whiskeyhill Rd.
Watsonville, CA 95076
Phone (831) 724-9333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ92069Z | Other | CA | SANTA CRUZ MEDICAL GROUP PTAN# |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1467710509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 WHISKEYHILL RD.",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "95076",
"telephone_number": "831-724-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 WHISKEYHILL RD.",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "95076",
"telephone_number": "831-724-9333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESNUT",
"first_name": "SHAUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-26",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ MEDICAL GROUP PTAN#",
"identifier": "ZZZ92069Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.