Individual provider Active NPI

Cheyanne Leigh Honeycutt

  • Professional Counselor
  • Gun Barrel City, TX
National Provider Identifier
1841930963
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88505 Issued in TX
Practice address
1837 W Main St
Gun Barrel City, TX 75156-4401
Phone
(903) 910-2294
Fax
(903) 303-2837
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 88505 TX Primary

Addresses

Primary practice location

1837 W Main St
Gun Barrel City, TX 75156-4401

Mailing address

1837 W Main St
Gun Barrel City, TX 75156-4401
Phone (903) 910-2294

Other practice location 1

1835 W Main St
Gun Barrel City, TX 75156-4401
Phone (903) 385-3115

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL cheyanne@cc-wg.com Direct
CONNECT URL amy@cc-wg.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 11, 2024 through Jul 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
88505TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Creek Wellness Group Mental Health CurrentSince Apr 1, 2022 Accepting new patients
Premier Mental Health and Wellness PLLC PastSince Jul 31, 2023 Accepting new patients

Locations

1837 W Main St
Gun Barrel City, TX 75156
Phone (903) 887-4788

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1841930963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 W MAIN ST",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751564401",
            "telephone_number": "903-910-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 W MAIN ST",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751564401",
            "telephone_number": "903-910-2294",
            "fax_number": "903-303-2837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1835 W Main St",
            "address_purpose": "LOCATION",
            "city": "Gun Barrel City",
            "state": "TX",
            "postal_code": "751564401",
            "country_code": "US",
            "telephone_number": "903-385-3115",
            "fax_number": "903-803-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONEYCUTT",
        "first_name": "CHEYANNE",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cheyanne@cc-wg.com",
            "affiliation": "N",
            "endpointDescription": "Contact email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1837 W Main St",
            "city": "Gun Barrel City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751564401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amy@cc-wg.com",
            "affiliation": "N",
            "endpointDescription": "Credentialing Contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1835 W Main St",
            "city": "Gun Barrel City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751564401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gun Barrel City, TX

Sources for this page

Verify at the official NPI Registry.