MRS. JACQUELINE F CHAVEZ M.ED., LPC - NPI 1851958060

Q: What is Jacqueline Chavez's NPI number?

The NPI number for Jacqueline Chavez is 1851958060. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Q: What is Jacqueline Chavez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Chavez was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

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About Mrs. Jacqueline F Chavez M.ed., Lpc NPPES

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

MRS. JACQUELINE F CHAVEZ M.ED., LPC (NPI 1851958060) is an individual mental health provider in Dallas, Texas, licensed in Texas (77462) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1851958060

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. JACQUELINE F CHAVEZCredential: M.ED., LPC

Location Address7502 FAIR OAKS AVEDallas, TX 75231-5404

Mailing Address5307 E Mockingbird Ln Ste 975Dallas, TX 75206-0959 · (469) 801-9055

Phone(972) 502-4147

Fax(214) 932-7585

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 22, 2019

Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1851958060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in TX · 77462

7502 FAIR OAKS AVE, Dallas, TX 75231

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Secondary Practice Location 1

Location 15307 E Mockingbird Ln Ste 975Dallas, TX 75206-0959 · Phone (469) 801-9055

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacqueline F Chavez M.ed., Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507349248

PECOS Enrollment IDI20260311002362

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SOCORRO PRECIADO LPC

Counselor (Professional)