Active NPI
Michelle L Chavez, LPC
- Professional Counselor
- Alamosa, CO
National Provider Identifier
1740952985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3384
- Practice address
- 204 Carson Ave
Alamosa, CO 81101-2342 - Phone
- (719) 587-5955
- NPI assigned
- Oct 5, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3384 | CO | Primary |
Addresses
Primary practice location
204 Carson Ave
Alamosa, CO 81101-2342
Mailing address
128 Market St
Alamosa, CO 81101-2290
Phone (719) 587-1161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3384 | Other | CO | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley-Wide Health Systems, Inc. | Current | Accepting new patients | |
| Valley-Wide Health Systems, Inc | Current | Accepting new patients |
Locations
128 Market St
Alamosa, CO 81101
Phone (719) 587-1001
702 4th St
Alamosa, CO 81101
Phone (719) 589-3658
204 Carson Ave
Alamosa, CO 81101
Phone (719) 587-5955
1012 Belmont Ave
La Junta, CO 81050
Phone (719) 383-5500
Interoperability endpoints
- michelle.chavez.p1@direct.vwhs.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Alamosa, CO
- NPI 1790998953
-
- Federally Qualified Health Center (FQHC)
- Alamosa, CO
- NPI 1205652047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1740952985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 MARKET ST",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012290",
"telephone_number": "719-587-1161",
"fax_number": "719-587-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 CARSON AVE",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012342",
"telephone_number": "719-587-5955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-05",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "3384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "3384",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.