Individual provider Active NPI

Chaney Statler, LMFT

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1851009583
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
51413 Issued in CA
Practice address
1401 S State St Unit 408
Chicago, IL 60605-3624
Phone
(415) 517-7755
NPI assigned
Nov 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 51413 CA Primary

Addresses

Primary practice location

1401 S State St Unit 408
Chicago, IL 60605-3624

Mailing address

1401 S State St Unit 408
Chicago, IL 60605-3624
Phone (415) 517-7755

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address connect@humaninteriors.com Direct

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

LicenseStateTypeSpecialty
51413CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1851009583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S STATE ST UNIT 408",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053624",
            "telephone_number": "415-517-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S STATE ST UNIT 408",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053624",
            "telephone_number": "415-517-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATLER",
        "first_name": "CHANEY",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "51413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "connect@humaninteriors.com",
            "affiliation": "N",
            "endpointDescription": "computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1401 S State St Unit 408",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606053624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.