COLLEEN CHAHAL
NPI 1144768425
Counselor - Professional in Bradford, PA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since February 07, 2017PECOS EnrolledAccepts Medicare Assignment

110 CAMPUS DR, BRADFORD, PA 16701(814) 362-6535(814) 362-7358 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Colleen Chahal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN CHAHAL (NPI 1144768425) is an individual professional provider in Bradford, Pennsylvania, licensed in Pennsylvania (PC009419) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1144768425

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameCOLLEEN CHAHAL

Location Address110 CAMPUS DRBradford, PA 16701-1982

Mailing Address110 Campus DrBradford, PA 16701-1982 · (814) 362-6535 · Fax (814) 362-7358

Phone(814) 362-6535

Fax(814) 362-7358

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateFebruary 7, 2017

✔ NPI 1144768425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in PA · PC009419

110 CAMPUS DR, Bradford, PA 16701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Colleen Chahal is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719339738

PECOS Enrollment IDI20241219002248

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.