DAVID ANDREW CHISM LPC
NPI 1730757485
Counselor - Mental Health in Kirkwood, MO
About David Andrew Chism Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID ANDREW CHISM LPC (NPI 1730757485) is an individual mental health provider in Kirkwood, Missouri, licensed in Missouri (2021001879) and active in the NPI registry since June 2021. He has opted out of Medicare through February 24, 2028.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
David Andrew Chism Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 24, 2024 through February 24, 2028.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is David Chism's NPI number?
The NPI number for David Chism is 1730757485. It was assigned to this individual provider in the NPPES registry on June 17, 2021.
Where is David Chism located?
David Chism practices at 111 Prospect Avenue Suite 203, Room A, Kirkwood, MO 63122. The listed phone number is (314) 591-0273.
What is David Chism's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is David Chism enrolled in Medicare?
No. David Chism has opted out of Medicare through February 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does David Chism accept?
Health plans from Providence Health Plan list David Chism as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for David Chism was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# David Andrew Chism, LPC · NPI 1730757485
Mental Health provider in Kirkwood, Missouri. Individual provider, active in the CMS NPPES registry since June 17, 2021.
## Identity
- **NPI:** 1730757485 (Entity type: Individual)
- **Enumerated:** June 17, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 2021001879 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 PROSPECT AVENUE, SUITE 203, ROOM A, Kirkwood, MO 63122-6067
- **Phone:** (314) 591-0273
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 24, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** May 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1730757485) · Data from the CMS NPPES public registry.