Active NPI
Robert Chrisman
- Mental Health Counselor
- Terre Haute, IN
National Provider Identifier
1861563181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 87001528A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Counselor
- Terre Haute, IN
- NPI 1144880220
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomington, IN
- NPI 1972320224
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.