Individual provider Active NPI

Chandra Passero, LMFT

  • Marriage & Family Therapist
  • Weaverville, NC
National Provider Identifier
1841398500
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1100 Issued in NC
Practice address
2 S Main St Ste 28
Weaverville, NC 28787-8485
Phone
(828) 337-2716
Fax
(828) 658-0615
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1100 NC Primary

Addresses

Primary practice location

2 S Main St Ste 28
Weaverville, NC 28787-8485

Mailing address

2 S Main St Ste 28
Weaverville, NC 28787-8485
Phone (828) 337-2716

Other identifiers 2

IdentifierTypeStateIssuer
145PHOtherNCBLUE CROSS BLUE SHIELD
6105142MedicaidNC

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Area Body-Psychotherapy PLLC Past Accepting new patients

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1841398500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S MAIN ST STE 28",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878485",
            "telephone_number": "828-337-2716",
            "fax_number": "828-658-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S MAIN ST STE 28",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878485",
            "telephone_number": "828-337-2716",
            "fax_number": "828-658-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSERO",
        "first_name": "CHANDRA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "145PH",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105142",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.