Active NPI
Analisa Hilda Chavez, LAC
- Mental Health Counselor
- Fayetteville, AR
National Provider Identifier
1508525544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A1907086
- Practice address
- 26 E Meadow St Ste 8
Fayetteville, AR 72701-5357 - Phone
- (479) 332-4112
- NPI assigned
- Dec 16, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A1907086 | AR | Primary |
Addresses
Primary practice location
26 E Meadow St Ste 8
Fayetteville, AR 72701-5357
Mailing address
26 E Meadow St Ste 8
Fayetteville, AR 72701-5357
Phone (479) 332-4112
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | analisa@nwanpc.com |
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 |
|---|---|---|---|
| A1907086 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Paradigm Counseling LLC | Current | Accepting new patients |
Locations
26 E Meadow St
Ste 8
Fayetteville, AR 72701
Phone (479) 332-4112
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fayetteville, AR
- NPI 1942969076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1508525544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 E MEADOW ST STE 8",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727015357",
"telephone_number": "479-332-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 E MEADOW ST STE 8",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727015357",
"telephone_number": "479-332-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "ANALISA",
"middle_name": "HILDA",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-16",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A1907086",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "analisa@nwanpc.com",
"affiliation": "N",
"address_1": "26 E Meadow St Ste 8",
"city": "Fayetteville",
"state": "AR",
"country_code": "US",
"postal_code": "727015357",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.