Active NPI
Michael Ray Chancellor, LPC-S
- Counselor
- Livingston, TX
National Provider Identifier
1487060729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 17798
- Practice address
- 511 E Pine Hill Dr
Livingston, TX 77351-2464 - Phone
- (936) 933-4392
- Fax
- (936) 327-0131
- NPI assigned
- Jul 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 17798 | TX | Primary |
Addresses
Primary practice location
511 E Pine Hill Dr
Livingston, TX 77351-2464
Mailing address
511 E Pine Hill Dr
Livingston, TX 77351-2464
Phone (936) 933-4392
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17798 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1487060729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 E PINE HILL DR",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773512464",
"telephone_number": "936-933-4392",
"fax_number": "936-327-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E PINE HILL DR",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773512464",
"telephone_number": "936-933-4392",
"fax_number": "936-327-0131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANCELLOR",
"first_name": "MICHAEL",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-08",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "17798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.