Summer R Chaves, MA

Individual provider Active NPI Professional Counselor · Denham Springs, LA

NPI 1982811576 · NPPES record last updated Jan 14, 2016

Key facts

NPI
1982811576
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
3315 (LA)
Practice address
30826 Linder Rd
Denham Springs, LA 70726-8507
Phone
(225) 665-7878
Fax
(225) 665-7856
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3315LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Rehab Services, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3315 LA Yes

Addresses

Primary practice location

30826 Linder Rd
Denham Springs, LA 70726-8507

Mailing address

10711 Hillrose Ave
Baton Rouge, LA 70810-7736
Phone (225) 665-7878

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 14, 2016.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1982811576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10711 HILLROSE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107736",
            "telephone_number": "225-665-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30826 LINDER RD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707268507",
            "telephone_number": "225-665-7878",
            "fax_number": "225-665-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVES",
        "first_name": "SUMMER",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

All providers in Denham Springs, LA · Professional Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.