Active NPI
Betty Chance
- Professional Counselor
- Ruston, LA
National Provider Identifier
1609250190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4175
- Practice address
- 904 Deville LN
Ruston, LA 71270-6313 - Phone
- (318) 255-5020
- Fax
- (318) 255-6623
- NPI assigned
- Jul 14, 2015
- Last updated
- Jul 14, 2015
- 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 | 4175 | LA | Primary |
Addresses
Primary practice location
904 Deville LN
Ruston, LA 71270-6313
Mailing address
301 Chadwick Dr
West Monroe, LA 71291-9524
Phone (318) 381-0041
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 |
|---|---|---|---|
| 4175 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1609250190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CHADWICK DR",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712919524",
"telephone_number": "318-381-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 DEVILLE LN",
"city": "RUSTON",
"state": "LA",
"postal_code": "712706313",
"telephone_number": "318-255-5020",
"fax_number": "318-255-6623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANCE",
"first_name": "BETTY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "4175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.