Individual provider Active NPI

Julie Ann Chacon, M.ED.

  • Counselor
  • Pasco, WA
National Provider Identifier
1508363839
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CG60152490 Issued in WA
Practice address
412 W Clark St
Pasco, WA 99301-5629
Phone
(509) 460-4200
NPI assigned
Apr 12, 2018
Last updated
Apr 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CG60152490 WA Primary

Addresses

Primary practice location

412 W Clark St
Pasco, WA 99301-5629

Mailing address

6100 Lanay St
West Richland, WA 99353-6061
Phone (509) 554-0364

Other practice location 1

7102 W Okanogan Pl
Kennewick, WA 99336-2341
Phone (509) 460-4200 ext. 4221

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
CG60152490WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Benton Franklin District Health Department PastSince Oct 18, 2011 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1508363839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 LANAY ST",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993536061",
            "telephone_number": "509-554-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W CLARK ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015629",
            "telephone_number": "509-460-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7102 W Okanogan Pl",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993362341",
            "country_code": "US",
            "telephone_number": "509-460-4200 x4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHACON",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60152490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.