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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3315 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Rehab Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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": []
}
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All providers in Denham Springs, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.