Active NPI
Linda Karen Chastain, LPC
- Professional Counselor
- Gold Beach, OR
National Provider Identifier
1548515745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C2028
- Practice address
- 94235 Moore St
Suite 412
Gold Beach, OR 97444 - Phone
- (541) 247-4082
- Fax
- (541) 247-5058
- NPI assigned
- Jul 13, 2012
- Last updated
- Jul 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C2028 | OR | Primary |
Addresses
Primary practice location
94235 Moore St
Suite 412
Gold Beach, OR 97444
Mailing address
94235 Moore St
Suite 412
Gold Beach, OR 97444
Phone (541) 247-4082
Other names 1
- Ms. Linda Chastain Krist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2028 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coos County Oregon | Current | Accepting new patients |
Locations
281 Laclair St
Coos Bay, OR 97420
Phone (541) 266-6700
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": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342137600000",
"number": "1548515745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94235 MOORE ST",
"address_2": "SUITE 412",
"city": "GOLD BEACH",
"state": "OR",
"postal_code": "97444",
"telephone_number": "541-247-4082",
"fax_number": "541-247-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94235 MOORE ST",
"address_2": "SUITE 412",
"city": "GOLD BEACH",
"state": "OR",
"postal_code": "97444",
"telephone_number": "541-247-4082",
"fax_number": "541-247-5058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASTAIN",
"first_name": "LINDA",
"middle_name": "KAREN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-13",
"last_updated": "2012-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C2028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "KRIST",
"middle_name": "CHASTAIN",
"prefix": "MS.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gold Beach, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.