Active NPI
Chavontreal Rochelle Allen, MA, LPC
- Professional Counselor
- Baytown, TX
National Provider Identifier
1689282360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 79399
- Practice address
- PO Box 2096
Baytown, TX 77522-2096 - Phone
- (832) 390-4122
- NPI assigned
- Jul 17, 2020
- Last updated
- Sep 20, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 79399 | TX | |
| Mental Health Counselor | 101YM0800X | 79399 | TX | |
| Professional Counselor | 101YP2500X | 79399 | TX | Primary |
Addresses
Primary practice location
PO Box 2096
Baytown, TX 77522-2096
Mailing address
PO Box 2096
Baytown, TX 77522-2096
Phone (832) 390-4122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79399 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SLD Counseling Services, PLLC | Professional | Current | Accepting new patients |
Locations
105 N Gordon St
Ste 202
Alvin, TX 77511
Phone (281) 585-0000
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1689282360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2096",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775222096",
"telephone_number": "832-390-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 2096",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775222096",
"telephone_number": "832-390-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "CHAVONTREAL",
"middle_name": "ROCHELLE",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-17",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "79399",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "79399",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "79399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.