Individual provider Active NPI

Karen Chambers, LICDC LPCC

  • Professional Counselor
  • Chillicothe, OH
National Provider Identifier
1679014963
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0900403 Issued in OH
Practice address
4449 State Route 159
Chillicothe, OH 45601-8902
Phone
(740) 775-1260
Fax
(740) 773-8322
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 121066 OH
Professional Counselor 101YP2500X E0900403 OH Primary

Addresses

Primary practice location

4449 State Route 159
Chillicothe, OH 45601-8902

Mailing address

4449 State Route 159
Chillicothe, OH 45601-8902
Phone (740) 775-1260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240103004330 OH Practitioner - Mental Health Counselor 8123420197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

108 Erin CT
Hillsboro, OH 45133-8591
Phone (740) 772-7909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121066OHMDAddiction (Substance Use Disorder) Counselor
E0900403OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Scioto Paint Valley Mental Health Center CurrentSince Jan 1, 2024 Accepting new patients
Scioto Paint Valley Mental Health Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

4449 State Route 159
Chillicothe, OH 45601
Phone (740) 772-7892

312 E 2nd St
Chillicothe, OH 45601
Phone (740) 772-7909

319 Logan St
Circleville, OH 43113
Phone (740) 474-8874

108 Erin Ct
Hillsboro, OH 45133
Phone (740) 772-7909

102 Dawn Ln
Waverly, OH 45690
Phone (740) 772-7909

1300 E Paint St
Wshngtn Ct Hs, OH 43160
Phone (740) 335-6935

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spvmhc/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1679014963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 STATE ROUTE 159",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018902",
            "telephone_number": "740-775-1260",
            "fax_number": "740-773-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 STATE ROUTE 159",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018902",
            "telephone_number": "740-775-1260",
            "fax_number": "740-773-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "KAREN",
        "credential": "LICDC LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "121066",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0900403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.