Blessy Chacko, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

59317 Issued in TX

Practice address

11606 Arbirlot Dr
Richmond, TX 77407-2257

Phone

(973) 970-5457

NPI assigned

Jan 28, 2022

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sugar Land Counseling Center, PCGroup PAC ID 2365729241, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sugar Land Counseling Center, P.C.

  • Mental Health Counselor
  • Sugar Land, TX
  • NPI 1033556535

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Counseling Center of Richmond

  • Professional Counselor
  • Richmond, TX
  • NPI 1699667923
  Medicare reassignment
• Spencer and Associates Therapeutic Alliance, PLLC

  • Clinical Social Worker
  • Houston, TX
  • NPI 1376089185
  NPD (past)

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1659024842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11606 ARBIRLOT DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072257",
            "telephone_number": "973-970-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11606 ARBIRLOT DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072257",
            "telephone_number": "973-970-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "BLESSY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394812701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center of Healing
• Centers for Mobility, LLC
• Shalondra Rene Cervantes, MA,RBT
• Mark Cesta, MD
• Trinika Chachere
• Cristi Marie Tabilas Chan, FNP-C
• Chaniels Childrens Place Inc
• Kathleen Marie Smitley Chapman, MA, LPC
• Charaug Integrated LLC
• Danelle Charles, COTA

• Clinical Social Worker in Richmond, TX
• Providers in Richmond, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.