Individual provider Active NPI

Erin Elizabeth Chilson, LPC

  • Mental Health Counselor
  • Hillsboro, MO
National Provider Identifier
1780270165
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2020041794 Issued in MO
Practice address
102 4TH St
Hillsboro, MO 63050-5043
Phone
(618) 877-4420
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2020041794 MO
Professional Counselor 101YP2500X 2020041794 MO
Mental Health Counselor 101YM0800X 2020041794 MO Primary

Addresses

Primary practice location

102 4TH St
Hillsboro, MO 63050-5043

Mailing address

5621 Golf Ridge Dr Apt a
Saint Louis, MO 63128-3343
Phone (636) 288-3656

Other practice location 1

3115 S Grand Blvd Ste 450
Saint Louis, MO 63118-1045
Phone (314) 517-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240109002318 MO Practitioner - Mental Health Counselor 2567813025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020041794MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Health Systems Inc CurrentSince Jan 1, 2024 Accepting new patients
Wishing Well Counseling, LLC Mental Health CurrentSince Dec 22, 2020 Accepting new patients
Chestnut Health Systems Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1003 Martin Luther King Dr
Bloomington, IL 61701
Phone (309) 827-6026

448 Wylie Dr
Normal, IL 61761
Phone (844) 973-6887

102 4th St
Hillsboro, MO 63050
Phone (636) 638-2618

Organizations & group practices 3

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": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1780270165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 GOLF RIDGE DR APT A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283343",
            "telephone_number": "636-288-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 4TH ST",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505043",
            "telephone_number": "618-877-4420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 S Grand Blvd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631181045",
            "country_code": "US",
            "telephone_number": "314-517-0444",
            "fax_number": "888-977-3461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILSON",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2020041794",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020041794",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2020041794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, MO

Sources for this page

Verify at the official NPI Registry.