CHAD UPSHAW
NPI 1861212060
Counselor - Mental Health in Lacey, WA

Active since October 12, 2024PECOS Enrolled
673 WOODLAND SQUARE LOOP SE STE 330, LACEY, WA 98503(415) 710-6689 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 13, 2024, Oct 12, 2024 (2 updates tracked since 2024).

About Chad Upshaw NPPES

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

CHAD UPSHAW (NPI 1861212060) is an individual mental health provider in Lacey, Washington and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861212060
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHAD UPSHAW
Location Address673 WOODLAND SQUARE LOOP SE STE 330Lacey, WA 98503-1066
Mailing Address1295 Bandana Blvd N Ste 210Saint Paul, MN 55108-5115
Sole ProprietorYes
Enumeration DateOctober 12, 2024
Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
NPI 1861212060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
673 WOODLAND SQUARE LOOP SE STE 330, Lacey, WA 98503

Medicare Participation & PECOS Enrollment Status

Chad Upshaw is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for CHAD UPSHAW

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Marriage & Family Therapist
673 WOODLAND SQUARE LOOP SE STE 330
LACEY, WA 98503
Dietitian, Registered
673 WOODLAND SQUARE LOOP SE STE 330
LACEY, WA 98503
Social Worker (Clinical)
673 WOODLAND SQUARE LOOP SE STE 330
OLYMPIA, WA 98503
Dietitian, Registered
673 WOODLAND SQUARE LOOP SE STE 330
LACEY, WA 98503
Social Worker (Clinical)
673 WOODLAND SQUARE LOOP SE STE 330
LACEY, WA 98503
Nurse Practitioner (Family)
673 WOODLAND SQUARE LOOP SE STE 330
LACEY, WA 98503
Dietitian, Registered
673 WOODLAND SQUARE LOOP SE STE 330
LACEY, WA 98503
Social Worker (Clinical)
673 WOODLAND SQUARE LOOP SE STE 330
OLYMPIA, WA 98503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861212060, enumerated as an "individual" on October 12, 2024.

The provider is located at 673 WOODLAND SQUARE LOOP SE STE 330 LACEY, WA 98503 and the phone number is (415) 710-6689.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.