Organization Active NPI

Chances and Services for Youth Inc.

  • Clinical Social Worker
  • Terre Haute, IN
National Provider Identifier
1598544231
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHANCES AND SERVICES FOR YOUTH INC.
Practice address
1101 S 13TH St
Terre Haute, IN 47802-1409
Phone
(812) 232-3952
NPI assigned
Sep 22, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Brandon Halleck
Title
Coo
Phone
(812) 232-3952

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

202 Crawford St
Terre Haute, IN 47807

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

1101 S 13TH St
Terre Haute, IN 47802-1409

Mailing address

1101 S 13TH St
Terre Haute, IN 47802-1409

Other names 1

NPPES NPI Registry
  • CASY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2023.

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1598544231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S 13TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478021409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S 13TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478021409",
            "telephone_number": "812-232-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCES AND SERVICES FOR YOUTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "HALLECK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "812-232-3952"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.