Individual provider Active NPI

Chevonda Callender Allen, MA, LPC-S, NCC

  • Professional Counselor
  • Prosper, TX
National Provider Identifier
1598003188
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67941 Issued in TX
Practice address
130 N Preston Rd
Prosper, TX 75078-9808
Phone
(469) 554-0028
NPI assigned
Jan 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 67941 TX Primary

Addresses

Primary practice location

130 N Preston Rd
Prosper, TX 75078-9808

Mailing address

PO Box 673
Prosper, TX 75078-0673
Phone (469) 554-0028

Other practice location 1

861 N Coleman St
Suite 180
Prosper, TX 75078-2340
Phone (469) 554-0028

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 Arts

State licenses

LicenseStateTypeSpecialty
67941TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Small Victories Counseling CurrentSince Jun 22, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1598003188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750780673",
            "telephone_number": "469-554-0028",
            "fax_number": "469-287-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N PRESTON RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789808",
            "telephone_number": "469-554-0028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "861 N Coleman St",
            "address_2": "Suite 180",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750782340",
            "country_code": "US",
            "telephone_number": "469-554-0028",
            "fax_number": "469-287-4170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLENDER ALLEN",
        "first_name": "CHEVONDA",
        "credential": "MA, LPC-S, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.