Active NPI
Andrea Chandler, M.S., LCDC, LPCI
- Addiction (Substance Use Disorder) Counselor
- Rockwall, TX
National Provider Identifier
1659816361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 13729
- Practice address
- 365 W Rusk St
Rockwall, TX 75087-3603 - Phone
- (972) 800-2023
- Fax
- (972) 755-1894
- NPI assigned
- Jan 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13729 | TX | Primary |
| Professional Counselor | 101YP2500X | 75337 | TX |
Addresses
Primary practice location
365 W Rusk St
Rockwall, TX 75087-3603
Mailing address
365 W Rusk St
Rockwall, TX 75087-3603
Phone (972) 800-2023
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75337 | TX | MD | Professional Counselor |
| 13729 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1659816361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 W RUSK ST",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750873603",
"telephone_number": "972-800-2023",
"fax_number": "972-755-1894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 W RUSK ST",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750873603",
"telephone_number": "972-800-2023",
"fax_number": "972-755-1894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "ANDREA",
"credential": "M.S., LCDC, LPCI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-04",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "13729",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75337",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.