Active NPI
Lisa Chandler
- Mental Health Counselor
- Utica, NY
National Provider Identifier
1952876799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 088006
- Practice address
- 1400 Noyes St
Utica, NY 13502-3854 - Phone
- (315) 738-4141
- NPI assigned
- Oct 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 088006 | NY | Primary |
Addresses
Primary practice location
1400 Noyes St
Utica, NY 13502-3854
Mailing address
1400 Noyes St
Utica, NY 13502-3854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260313000822 | NY | Order and Referring Only - Clinical Social Worker | 6800379264 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088006 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1952876799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 NOYES ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135023854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 NOYES ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135023854",
"telephone_number": "315-738-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-08",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "088006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.