Individual provider Active NPI

Cheralynn Renee Chase, LPC, LPCC

  • Mental Health Counselor
  • Ashland, OR
National Provider Identifier
1477814184
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4220 Issued in OR
Practice address
542 Washington St Ste 201
Ashland, OR 97520-1951
Phone
(530) 471-8703
NPI assigned
May 30, 2012
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4406 CA
Mental Health Counselor 101YM0800X C4220 OR Primary

Addresses

Primary practice location

542 Washington St Ste 201
Ashland, OR 97520-1951

Mailing address

PO Box 1347
Mount Shasta, CA 96067-1347
Phone (530) 471-8703

Other practice location 1

110 W Castle St
Mount Shasta, CA 96067-2163
Phone (530) 471-8703

Other names 1

  • Cheralynn Renee Sabankaya Former name

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

State licenses

LicenseStateTypeSpecialty
C4220ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1477814184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1347",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960671347",
            "telephone_number": "530-471-8703",
            "fax_number": "888-231-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 WASHINGTON ST STE 201",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201951",
            "telephone_number": "530-471-8703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W Castle St",
            "address_purpose": "LOCATION",
            "city": "Mount Shasta",
            "state": "CA",
            "postal_code": "960672163",
            "country_code": "US",
            "telephone_number": "530-471-8703",
            "fax_number": "888-231-3855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "CHERALYNN",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LPC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "4406",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERALYNN",
            "last_name": "SABANKAYA",
            "middle_name": "RENEE",
            "credential": "LPC, LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.