Theresa Elizabeth Chesnut, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2002004512 Issued in MO

Practice address

800 Holland Rd
Ballwin, MO 63021-7230

Phone

(636) 386-6611

Fax

(636) 386-6622

NPI assigned

Sep 18, 2008

Last updated

Sep 18, 2008By the provider in NPPES

Sex

Female

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

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.

• Castlewood Treatment Center LLC

  dba Alsana

  • Psychiatric Residential Treatment Facility
  • Ballwin, MO
  • NPI 1568554822
  NPD (past)
• Marital & Sexual Therapy Programs of Missouri

  • Clinical Psychologist
  • Bollwin, MO
  • NPI 1316031404
  NPD (past)

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1972752541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HOLLAND RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217230",
            "telephone_number": "636-386-6611",
            "fax_number": "636-386-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOLLAND RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217230",
            "telephone_number": "636-386-6611",
            "fax_number": "636-386-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESNUT",
        "first_name": "THERESA",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2002004512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathedralrock Ballwin-Oakforest Skilled Care
• Center for Advanced Foot & Ankle Surgery Inc (MO Foot & Ankle)
• Lauren Chacon
• Stacey Chen, ATC
• Desiree Jean Cheney, OTR
• Octavio R Chirino, M.D.
• Aman Fatima Chishti
• Melissa Chosid, MSMFT
• CJM Elderhealth, LLC
• Camille Clarke, RBT

• Mental Health Counselor in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.