Chandy Page, LISW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

9236 Issued in SC

Practice address

116 Driftwood Cir
Aiken, SC 29801-7273

Phone

(803) 599-2594

NPI assigned

Nov 28, 2012

Last updated

May 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aiken Psychotherapy

  • Clinical Nurse Specialist
  • Aiken, SC
  • NPI 1659543262
  NPD (past)

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1669717930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 VARDEN DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035285",
            "telephone_number": "803-642-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DRIFTWOOD CIR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298017273",
            "telephone_number": "803-599-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "CHANDY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "9236",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "9236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD01AK",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "570569761",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Owens
• Kristin August Owens, LCSW
• Elizabeth O'Neal Owensby
• Kristi Oxley, FNP-BC
• Catherine Lynne Packer-Williams, LPC
• Caitlin Nicole Palker, PHARMD
• Gregory L Palmer, DPM
• Palmetto Anesthesia Services of Aiken, LLC
• Palmetto Gastroenterology & Hepatology, PA
• Palmetto Health Services Associates LLC

• Addiction (Substance Use Disorder) Counselor in Aiken, SC
• Providers in Aiken, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.