Terry Lee Chandler, CDCA PRELIMIARY

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.178317 Issued in OH

Practice address

25 Whitney Dr Ste 120
Milford, OH 45150-8400

Phone

(513) 316-4240

NPI assigned

Sep 30, 2021

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Self Care Counseling Inc

  • Mental Health Counselor
  • Loveland, OH
  • NPI 1578387809
  NPD

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1609548460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 CLEMENS DR",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451409222",
            "telephone_number": "513-582-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WHITNEY DR STE 120",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451508400",
            "telephone_number": "513-316-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "TERRY",
        "middle_name": "LEE",
        "credential": "CDCA PRELIMIARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.178317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Dynamic
• Tiffany Rose Cerqua
• Amy L Chaffin, LPN
• Jennifer Chamberlin
• Christina Marie Chambers, CDCA
• Clementine Marie Chaney, LSW S.2106764
• Alexis Chase
• Anthony CHI-Kwong Chiang, OD
• Jamal Chioua
• Tina Chioua

• Addiction (Substance Use Disorder) Counselor in Milford, OH
• Providers in Milford, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

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