Active NPI
Nicole Chavies, LGPC
- Professional Counselor
- Baltimore, MD
National Provider Identifier
1790467058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP12857
- Practice address
- 5527 Harford Rd
Baltimore, MD 21214-2233 - Phone
- (443) 333-2970
- NPI assigned
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | LGP12857 | MD | Primary |
Addresses
Primary practice location
5527 Harford Rd
Baltimore, MD 21214-2233
Mailing address
5527 Harford Rd
Baltimore, MD 21214-2233
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP12857 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tnat Family Care | Single Specialty | Current | Accepting new patients |
Locations
5527 Harford Rd
Baltimore, MD 21214
Phone (443) 333-2970
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1790467058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5527 HARFORD RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212142233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5527 HARFORD RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212142233",
"telephone_number": "443-333-2970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVIES",
"first_name": "NICOLE",
"credential": "LGPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-04",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP12857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.