Doug Chisholm, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

65003 Issued in TX

Legal business name

DOUG CHISHOLM, LLC

Practice address

8350 Meadow Rd
Ste 198
Dallas, TX 75231-3768

Phone

(972) 834-0770

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Doug Chisholm, LPC-SNPI 1851643589

Title

Owner

Phone

(972) 834-0770

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Doug Chisholm LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Doug Chisholm, LLC

  • Professional Counselor
  • Dallas, TX
  • NPI 1518323609
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Doug Chisholm

  • Professional Counselor
  • Dallas, TX
  • NPI 1851643589
  NPD (past) Authorized official

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1902274012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 MEADOW RD",
            "address_2": "STE 198",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 MEADOW RD",
            "address_2": "STE 198",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313768",
            "telephone_number": "972-834-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUG CHISHOLM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-834-0770",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "65003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER I ALREADY HAD BEFORE I SWITCHED TO AN S CORPORATION",
            "identifier": "1851643589",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Double Aa Hospice Care
• Meggie Elizabeth Doucet, MD
• Matthew Doucette
• Sherri Doucette
• Doug Chisholm, LLC
• Sheila Allison Dougan, APRN, FNP-BC
• Crystal Jenise Dougher, B.A.
• Alleyna Dougherty, MD
• Amie Lynn Boles Dougherty, PT, DPT
• Doug Michael Dougherty, THM MED LPC

• Health Maintenance Organization in Dallas, TX
• Providers in Dallas, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.