Individual provider Active NPI

Deven D. Chambers, MA, MS,

  • Mental Health Counselor
  • Fayetteville, AR
National Provider Identifier
1689327868
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A1906073 Issued in AR
Practice address
20 W Sunbridge Dr
Fayetteville, AR 72703-1822
Phone
(844) 663-3932
Fax
(844) 663-3932
NPI assigned
Jan 28, 2022
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A1906073 AR Primary

Addresses

Primary practice location

20 W Sunbridge Dr
Fayetteville, AR 72703-1822

Mailing address

PO Box 9261
Fayetteville, AR 72703-0021
Phone (844) 663-3932

Other practice location 1

4220 Cartwright Rd Ste 1005
Missouri City, TX 77459-2449
Phone (844) 663-3932

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Https://www.thechambersccc.com Chambers CCC LLC

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, Master of Science

State licenses

LicenseStateTypeSpecialty
A1906073ARMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1689327868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9261",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030021",
            "telephone_number": "844-663-3932",
            "fax_number": "844-663-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W SUNBRIDGE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031822",
            "telephone_number": "844-663-3932",
            "fax_number": "844-663-3932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 Cartwright Rd Ste 1005",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774592449",
            "country_code": "US",
            "telephone_number": "844-663-3932",
            "fax_number": "844-663-3932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "DEVEN",
        "middle_name": "D.",
        "credential": "MA, MS,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1906073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Https://www.thechambersccc.com",
            "affiliation": "Y",
            "endpointDescription": "This endpoint is url where connection can be made. It is not a secure platform, so it is first point of contact.",
            "affiliationName": "Chambers CCC LLC",
            "address_1": "3112 W Jewell Rd Apt 7",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727011587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.