Channelle Bastardo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107722 Issued in TX

Practice address

2660 Scripture St Ste 210
Denton, TX 76201-4343

Phone

(940) 315-7825

NPI assigned

May 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grateful Heart Counseling, PLLC

  • Mental Health Counselor
  • Justin, TX
  • NPI 1407692650
  NPD

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1780322875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CARROLLTON PKWY APT 23307",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SCRIPTURE ST STE 210",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014343",
            "telephone_number": "940-315-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTARDO",
        "first_name": "CHANNELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Baskin, LPC
• Ashley Bass
• Keely Tunnell Bass, DPT
• Lacey Bass
• Tammy L Bassham, MS, LPC
• Batch Investment Company (Lifesteps Rehabilitation Services)
• Kaleigh Batchelder, PTA
• Kristin Judith Bateman, M.S., CCC-SLP, BCBA
• Allison Bates
• Kelsey Bauer

• Clinical Social Worker in Denton, TX
• Providers in Denton, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.