Chelsea Anderson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

522 E Main St
Mascoutah, IL 62258-2240

Phone

(618) 972-9913

NPI assigned

Dec 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chelsea Crocker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Trinity Services Inc.

  • Community/Behavioral Health Agency
  • Mascoutah, IL
  • NPI 1265869465
  NPD (past)
• Trinity Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lockport, IL
  • NPI 1609834191
  NPD (past)

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1619481439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E MAIN ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 E MAIN ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582240",
            "telephone_number": "618-972-9913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "973 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Mascoutah",
            "state": "IL",
            "postal_code": "622581154",
            "country_code": "US",
            "telephone_number": "618-566-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHELSEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "CROCKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aperion Care Mascoutah LLC (Aperion Care Mascoutah)
• Aperion Care Mascoutah LLC
• Mackenzie Atchie
• Back & Neck Care Clinic, LLC
• Brian C Back, D.M.D.

• Behavior Technician in Mascoutah, IL
• Providers in Mascoutah, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.