Individual provider Active NPI

Catherine Moster Chandra, LPCC

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1477134997
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2404024 Issued in OH
Practice address
740 W Galbraith Rd
Cincinnati, OH 45231-6002
Phone
(513) 246-7337
Fax
(513) 522-6147
NPI assigned
Apr 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 80333 TX
Professional Counselor 101YP2500X E.2404024 OH Primary

Addresses

Primary practice location

740 W Galbraith Rd
Cincinnati, OH 45231-6002

Mailing address

740 W Galbraith Rd
Cincinnati, OH 45231-6002
Phone (513) 246-7337

Other practice location 1

4405 River Oaks Blvd
Fort Worth, TX 76114-2326
Phone (817) 624-1770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240919002491 OH Practitioner - Mental Health Counselor 5496296253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

740 W Galbraith Rd
Suite 100
Cincinnati, OH 45231-6002
Phone (513) 242-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2404024OHMDProfessional Counselor
80333TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Aug 12, 2024 Accepting new patients

Locations

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

740 W Galbraith Rd
Ste 100
Cincinnati, OH 45231
Phone (513) 242-0100

740 W Galbraith Rd
Cincinnati, OH 45231
Phone (513) 246-7337

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

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": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1477134997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452316002",
            "telephone_number": "513-246-7337",
            "fax_number": "513-522-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452316002",
            "telephone_number": "513-246-7337",
            "fax_number": "513-522-6147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4405 River Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761142326",
            "country_code": "US",
            "telephone_number": "817-624-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "CATHERINE",
        "middle_name": "MOSTER",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80333",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2404024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.