Individual provider Active NPI

Robert Chrisman

  • Mental Health Counselor
  • Terre Haute, IN
National Provider Identifier
1861563181
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
124 S 1St St
Terre Haute, IN 47807-3404
Phone
(812) 462-3291
Fax
(812) 234-2448
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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 87001528A IN
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

124 S 1St St
Terre Haute, IN 47807-3404

Mailing address

PO Box 10438
Terre Haute, IN 47801-0438
Phone (812) 462-3291

Other practice location 1

120 S Alabama St
Brazil, IN 47834-2643
Phone (812) 432-3291

Other practice location 2

120 S Alabama St
Brazil, IN 47834-2643
Phone (812) 462-3291

Other practice location 3

124 S 1st St
Terre Haute, IN 47807-3404
Phone (812) 462-3291

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
87001528AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Indiana, Inc. Past Accepting new patients
Choices Consulting Center, Inc Mental Health Past Accepting new patients

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1861563181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10438",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478010438",
            "telephone_number": "812-462-3291",
            "fax_number": "765-983-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S 1ST ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073404",
            "telephone_number": "812-462-3291",
            "fax_number": "812-234-2448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S Alabama St",
            "address_purpose": "LOCATION",
            "city": "Brazil",
            "state": "IN",
            "postal_code": "478342643",
            "country_code": "US",
            "telephone_number": "812-432-3291",
            "fax_number": "812-234-2448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 S Alabama St",
            "address_purpose": "LOCATION",
            "city": "Brazil",
            "state": "IN",
            "postal_code": "478342643",
            "country_code": "US",
            "telephone_number": "812-462-3291",
            "fax_number": "812-234-2448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478073404",
            "country_code": "US",
            "telephone_number": "812-462-3291",
            "fax_number": "812-234-2448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISMAN",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "87001528A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.