Individual provider Active NPI

Brigid Sy Chua-Hackett, LPC

  • Mental Health Counselor
  • Wasilla, AK
National Provider Identifier
1902112592
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
660 Issued in AK
Practice address
601 N Bunker Hill St Ste E
Wasilla, AK 99654-6790
Phone
(907) 317-6168
Fax
(907) 357-7343
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X 660 AK Primary

Addresses

Primary practice location

601 N Bunker Hill St Ste E
Wasilla, AK 99654-6790

Mailing address

601 N Bunker Hill St Ste E
Wasilla, AK 99654-6790
Phone (907) 317-6168

Other names 1

  • Mrs. Brigid Sy Chua-Hackett Professional name

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
660AKMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1902112592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N BUNKER HILL ST STE E",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546790",
            "telephone_number": "907-317-6168",
            "fax_number": "907-357-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N BUNKER HILL ST STE E",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546790",
            "telephone_number": "907-317-6168",
            "fax_number": "907-357-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA-HACKETT",
        "first_name": "BRIGID",
        "middle_name": "SY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIGID",
            "last_name": "CHUA-HACKETT",
            "middle_name": "SY",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.