Individual provider Active NPI

Christopher M Meshula, L.P.C.

  • Mental Health Counselor
  • Chandler, AZ
National Provider Identifier
1811370844
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-15865 Issued in AZ
Practice address
90 S Kyrene Rd
Suite 4
Chandler, AZ 85226
Phone
(813) 758-5770
NPI assigned
Jul 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 15865 AZ
Mental Health Counselor 101YM0800X LPC-15865 AZ Primary

Addresses

Primary practice location

90 S Kyrene Rd
Suite 4
Chandler, AZ 85226

Mailing address

8129 Lagerfeld Dr
Land O Lakes, FL 34637-3203
Phone (813) 758-5770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • 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
I20240606004367 FL Practitioner - Mental Health Counselor 8820436447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15865AZMDMental Health Counselor
LPC-15865AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rad Gharavi MD PC CurrentSince Mar 2, 2024 Accepting new patients
Rad Gharavi MD PC CurrentSince Sep 23, 2024 Accepting new patients

Locations

17945 Hunting Bow Cir
Ste 102
Lutz, FL 33558
Phone (813) 449-1910

6551 North Ave
Oak Park, IL 60302
Phone (708) 445-0480

Interoperability endpoints

  • Direct secure messaging: christopher.meshulalmhc@direct.mybaycare.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1811370844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8129 LAGERFELD DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346373203",
            "telephone_number": "813-758-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S KYRENE RD",
            "address_2": "SUITE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85226",
            "telephone_number": "813-758-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESHULA",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "15865",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-15865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.