Chantal M. Gagnon, MS, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9510 Issued in FL

Practice address

600 N Pine Island Rd
Suite 450
Plantation, FL 33324-1393

Phone

(954) 559-2936

NPI assigned

Jul 8, 2008

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

Enrolled in FL

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tradelphis LLCGroup PAC ID 3971853565, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science

State licenses

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 and National Provider Directory roles.

• Tradelphis LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plantation, FL
  • NPI 1770746851
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1790948867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7378 W ATLANTIC BLVD",
            "address_2": "SUITE 388",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330634214",
            "telephone_number": "954-559-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N PINE ISLAND RD",
            "address_2": "SUITE 450",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241393",
            "telephone_number": "954-559-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "CHANTAL",
        "middle_name": "M.",
        "credential": "MS, MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G Sarlis Group Inc Dba Self360
• Abanoub Gabra
• Gabriel Domenech MD PA
• Ruchika Thapar Gadh, D.O
• Rundeep Singh Gadh, D.O.
• Angela Gaines Geter
• Joanna Ashley Galasso, O.D.
• Michele Galatovich, MD
• Galen OBGYN Group, LLC
• Sandra Galgano, L.C.S.W

• Mental Health Counselor in Plantation, FL
• Providers in Plantation, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.