Chigane Abraham
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Fort Worth, TX
NPI 1497390686 · NPPES record last updated Nov 12, 2019
Key facts
- NPI
- 1497390686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 32221 (TX)
- Practice address
- 8609 Glenburne Dr
Fort Worth, TX 76131 - Phone
- (903) 372-5346
- NPI assigned
- Nov 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Thrive Counseling LLC
Nkechi Ezema, PLLC
Practice addresses (Care Compare)
1412 W Magnolia Ave
Suite 210
Fort Worth, TX 76104-4364
Phone (855) 284-7483
2900 W Park Row Dr
Suite C
Pantego, TX 76013-2047
Phone (214) 483-1993
6043 W Interstate 20
Arlington, TX 76017-1042
Phone (214) 483-1993
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201111001786 | TX | Practitioner - Nurse Practitioner | 0446660963 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32221 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current |
Accepting new patients | |
| Addismind PLLC | Psychiatric/Mental Health | Past |
Accepting new patients |
Locations
1412 W Magnolia Ave
Ste 210
Fort Worth, TX 76104
Phone (855) 914-5753
1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 32221 | TX | Yes |
Addresses
Primary practice location
8609 Glenburne Dr
Fort Worth, TX 76131
Mailing address
8609 Glenburne Dr
Fort Worth, TX 76131-3357
Other providers in Fort Worth, TX
- Abraham F Syrquin MD a Professional Association
- Akhil Abraham
- Albin Abraham
- Arlene Abraham
- Ashley Ann Abraham
- Deepa Tony Abraham
- Jephine Abraham
- Joy Fields Abraham
- Koshy O Abraham
- Tina Abraham
All providers in Fort Worth, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.