Chettha Paul Techo, PCLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

38614 Issued in MT

Practice address

6850 Upper Box Elder Rd
Box Elder, MT 59521

Phone

(406) 945-0393

NPI assigned

Jul 10, 2019

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

Other names 1

• Paul Chettha Techo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1962054957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 UPPER BOX ELDER RD",
            "city": "BOX ELDER",
            "state": "MT",
            "postal_code": "595219073",
            "telephone_number": "406-395-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 UPPER BOX ELDER RD",
            "city": "BOX ELDER",
            "state": "MT",
            "postal_code": "59521",
            "telephone_number": "406-945-0393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6850 Upper Box Elder Rd",
            "address_purpose": "LOCATION",
            "city": "Box Elder",
            "state": "MT",
            "postal_code": "59521",
            "country_code": "US",
            "telephone_number": "406-945-0393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TECHO",
        "first_name": "CHETTHA",
        "middle_name": "PAUL",
        "credential": "PCLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "38614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "TECHO",
            "middle_name": "CHETTHA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• William Edward Thomas, O.D.
• Patricia Marie Tilleman, RN
• Wendy Courtnage Tilleman, APRN, FNP-BC
• Elizabeth M Topsky, MD

• All providers in Box Elder, MT
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.