Jorge Chacon, PSYD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CL60173043 Issued in WA

Practice address

766 S Mission St
Wenatchee, WA 98801-3052

Phone

(509) 667-1926

Fax

(509) 888-3001

NPI assigned

May 18, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro Latino Northwest Family Services Institute-Corp

  dba NW Family Services Institute

  • Substance Abuse Rehabilitation Facility
  • Wenatchee, WA
  • NPI 1073325759
  NPD Authorized official
• Northwest Family Services Institute

  • Home Health Agency
  • Wenatchee, WA
  • NPI 1730504259
  Authorized official Same address or phone

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942737184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 S MISSION ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013052",
            "telephone_number": "509-667-1926",
            "fax_number": "509-888-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 S MISSION ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013052",
            "telephone_number": "509-667-1926",
            "fax_number": "509-888-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CL60173043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Washington Health Services Association (Confluence Health Custom Orthotics DME)
• Central Washington Health Services Association (Confluence Health)
• Central Washington Health Services Association (Confluence Health)
• Central Washington Sleep Diagnostic Center, PLLC
• Centro Latino Northwest Family Services Institute-Corp (NW Family Services Institute)
• Charley Chamberlain, RPH
• John E Chamberlain, RN
• Kimberley Rae Chambers, LMT
• Mecey Chan, RPH
• Allison Chandler, LCPO

• Mental Health Counselor in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.