Chingju Grace Chen, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1447 Issued in MA

Practice address

68 Park St
Andover, MA 01810-3693

Phone

(978) 482-7480

NPI assigned

Nov 3, 2011

Last updated

Sep 8, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 25, 2024 through Mar 25, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1669759791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 PARK ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103693",
            "telephone_number": "978-482-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 PARK ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103693",
            "telephone_number": "978-482-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CHINGJU",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drgracechenlmft.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "68 Park St",
            "city": "Andover",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018103693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nancy Chamberlin, M.A. CCC-SLP
• Carol Lynn Chapman, COUNSELOR
• Kimberly Ann Charette, RPH
• Charles Crosby Dba Optical Department
• Karen Cheever, COTA/L
• Chiochen Cheng, M.D.
• Timothy Jeehwan Chesler
• Emily Chin, PT, DPT
• Deanna Christiansen, OTR
• Gregory Jason Christie, PA-C

• Marriage & Family Therapist in Andover, MA
• Providers in Andover, MA by specialty
• Marriage & Family Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.