Individual provider Active NPI

Christopher William Nash Jr., NPC UNDER SUPERVISIO

  • Professional Counselor
  • Ada, OK
National Provider Identifier
1972028223
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7256 Issued in OK
Practice address
1300 Hoppe Blvd
Suite 5
Ada, OK 74820
Phone
(580) 436-1222
Fax
(580) 436-1333
NPI assigned
Aug 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7256 OK Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

1300 Hoppe Blvd
Suite 5
Ada, OK 74820

Mailing address

Resource Management
1300 Hoppe Blvd., Suite 1
Ada, OK 74820
Phone (580) 436-7211

Other names 1

  • Chris Cheadle Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211000133 OK Practitioner - Mental Health Counselor 8224564455 Reassigns benefits to 1 organization
Practice locations: Edmond, OK

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Pathways Unlimited IncGroup PAC ID 6608776349, 21 clinicians

Practice addresses (Care Compare)

4045 NW 64TH St
Suite 520
Oklahoma City, OK 73116-8608
Phone (405) 842-4911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Pathways Unlimited Inc CurrentSince Dec 16, 2024 Accepting new patients
Chickasaw Nation - Family Services Professional Past Accepting new patients

Locations

4045 NW 64th St
Ste 520
Oklahoma City, OK 73116
Phone (405) 685-4791

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1972028223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RESOURCE MANAGEMENT",
            "address_2": "1300 HOPPE BLVD., SUITE 1",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "telephone_number": "580-436-7211",
            "fax_number": "580-272-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOPPE BLVD",
            "address_2": "SUITE 5",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "telephone_number": "580-436-1222",
            "fax_number": "580-436-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "CHRISTOPHER",
        "middle_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "NPC UNDER SUPERVISIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "7256",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "CHEADLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.