Karen Elizabeth Chacko

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

765 Highland Oaks Dr Ste 100
Winston Salem, NC 27103-7100

Phone

(336) 926-0429

NPI assigned

Aug 30, 2023

Last updated

Aug 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1538944285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 HAYDEN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691239",
            "telephone_number": "704-222-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 HIGHLAND OAKS DR STE 100",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037100",
            "telephone_number": "336-926-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Un Cepeda-Chyr, PA-C
• Anthony Samuel Ceraulo, D.O.
• Jennifer Luzia Cerny, MS, NP-C
• Certus Psychiatry and Integrated Care PLLC (Cpic)
• Domenic Cetrone
• Eleanore Jeanine Chadwell, LPC
• William Clifton Chafin Jr., MD, RN
• Daniela Chala Garcia, MD
• Surya K Challa, M.D.
• Andre Floyd Chambers

• Pastoral Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pastoral Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.