Alejandro Chavez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

127 S Liberty St
Rushville, IL 62681-1419

Phone

(217) 322-0473

Fax

(217) 322-2138

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schuyler County Mental Health AssociationGroup PAC ID 8820175995, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Schuyler County Mental Health Association

  dba Schuyler Counseling and Health Servcies

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rushville, IL
  • NPI 1356460125
  Medicare reassignment Care Compare group NPD
• Mental Health Centers of Western Illinois

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mt Sterling, IL
  • NPI 1558451716
  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1508318379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S LIBERTY ST",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811419",
            "telephone_number": "217-322-0473",
            "fax_number": "217-322-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S LIBERTY ST",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811419",
            "telephone_number": "217-322-0473",
            "fax_number": "217-322-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ALEJANDRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caputo Counseling, PLLC
• Savanah Mae Caputo, LSW
• Taylor Odell Caputo
• Stephanie Marie Carithers, OTR/L , LPTA
• Charles C Gerleman D C P C (Gerleman Chiropractic & Acupuncture)
• Alexandra Chiatello, LSW
• County of Schuyler Industry Comm Unit School Dist 5
• Reanna Davis, LCSW
• Shelly Sue Demaree, D.T.
• Dva Renal Healthcare Inc (Rushville Dialysis)

• Mental Health Counselor in Rushville, IL
• Providers in Rushville, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.