Active NPI
Chad Condon Moltane, M.A, LPC, PHD DOCTOR
- Professional Counselor
- El Paso, TX
National Provider Identifier
1689220634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73-180
- Practice address
- 5048 Love Road
El Paso, TX 79922 - Phone
- (915) 740-3698
- NPI assigned
- Aug 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 73-180 | TX | Primary |
Addresses
Primary practice location
5048 Love Road
El Paso, TX 79922
Mailing address
5143 Timberwolf Drive
El Paso, TX 79903
Phone (915) 248-7814
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73-180 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1689220634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5143 TIMBERWOLF DRIVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "79903",
"telephone_number": "915-248-7814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5048 LOVE ROAD",
"city": "EL PASO",
"state": "TX",
"postal_code": "79922",
"telephone_number": "915-740-3698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLTANE",
"first_name": "CHAD",
"middle_name": "CONDON",
"name_prefix": "Mr.",
"credential": "M.A, LPC, PHD DOCTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-15",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73-180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.