Juan Chen

Primary specialty

PsychologistTaxonomy code 103T00000X

License

39471 Issued in TX

Practice address

8751 Collin McKinney Pkwy Ste 502
McKinney, TX 75070-1853

Phone

(214) 308-1665

NPI assigned

Sep 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blank Slate Therapy

  • Professional Counselor
  • Frisco, TX
  • NPI 1639539364
  Medicare reassignment NPD

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1992532048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 COLLIN MCKINNEY PKWY STE 502",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701853",
            "telephone_number": "214-308-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 COLLIN MCKINNEY PKWY STE 502",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701853",
            "telephone_number": "214-308-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "39471",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "71861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardin Chellan, DC
• Chelsea Medical Center, LLC
• Eileen Lin Chen-Mizuuchi, DDS
• Daniel Wending Chen
• Elaine Chen, PHARM D
• Tiffany Chen
• Ya-Lin Chen, D.D.S.
• John Bradley Chenault, NBC-HIS; A.C.A.
• Olivia Nicole Cherkas, LMT
• Marc L Chernizer, PSY.D.

• Psychologist in McKinney, TX
• Providers in McKinney, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.