Active NPI
Christina Marie Chewning, MA
- Mental Health Counselor
- Clearwater, FL
National Provider Identifier
1649886797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH17594
- Practice address
- 2430 Estancia Blvd
Clearwater, FL 33761-2631 - Phone
- (727) 424-4661
- NPI assigned
- Sep 23, 2020
- Last updated
- Sep 23, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH17594 | FL | Primary |
Addresses
Primary practice location
2430 Estancia Blvd
Clearwater, FL 33761-2631
Mailing address
138 Sunlit Cove Dr NE
St Petersburg, FL 33702-3228
Phone (727) 424-4661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IMH17594 | Other | FL | REGISTERED MENTAL HEALTH COUNSELOR INTERN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMH17594 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1649886797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 SUNLIT COVE DR NE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337023228",
"telephone_number": "727-424-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 ESTANCIA BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612631",
"telephone_number": "727-424-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEWNING",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH17594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED MENTAL HEALTH COUNSELOR INTERN",
"identifier": "IMH17594",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.