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: August 23, 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 CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Chad Upshaw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 8

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

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

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chad Upshaw's NPI number?

The NPI number for Chad Upshaw is 1861212060. It was assigned to this individual provider in the NPPES registry on October 12, 2024.

Where is Chad Upshaw located?

Chad Upshaw practices at 673 Woodland Square Loop SE Ste 330, Lacey, WA 98503. The listed phone number is (415) 710-6689.

What is Chad Upshaw's specialty?

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

Is Chad Upshaw enrolled in Medicare?

Yes. Chad Upshaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chad Upshaw was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.