Active NPI
Christopher G. Chandler
- Counseling Psychologist
- Bowling Green, KY
National Provider Identifier
1497124622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 247368
- Practice address
- 1910 Lyda Ave
Bowling Green, KY 42104-3326 - Phone
- (270) 904-6567
- Fax
- (270) 904-6570
- NPI assigned
- Sep 17, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 247368 | KY | |
| Clinical Psychologist | 103TC0700X | 247368 | KY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 247368 | KY | |
| Counseling Psychologist | 103TC1900X | 247368 | KY | Primary |
Addresses
Primary practice location
1910 Lyda Ave
Bowling Green, KY 42104-3326
Mailing address
104 Reynolds Rd
Glasgow, KY 42141-1177
Phone (270) 678-4801
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 247368 | KY | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Counseling Associates | Clinical | Past | Accepting new patients |
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": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1497124622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 REYNOLDS RD",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421411177",
"telephone_number": "270-678-4801",
"fax_number": "270-678-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 LYDA AVE",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043326",
"telephone_number": "270-904-6567",
"fax_number": "270-904-6570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "CHRISTOPHER",
"middle_name": "G.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-17",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "KY",
"license": "247368",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "247368",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "KY",
"license": "247368",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "KY",
"license": "247368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
- Chambers & Clark Hearing LLC (Chambrs & Clark Hearing Aid Service)
- Amber Chambers, MD
- Shelly Denise Champagne, LCSW
- Deborah Kay Champion, M.A., LPCC,
- Amanda Chandler, LPCA
- Madelene B Chandler, LPA
- Mindy Chandler, APRN
- Ladonna Joy Chaney, CRNA
- Macy Davenport Chaney, M.S., CCC-SLP
- Shihchin Chang, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.