SUSAN CHACKO


Address: 12000 N Virginia Avenue, Oklahoma City, OK 73120
Phone: 4058356757

SUSAN CHACKO (NPI# 1962928895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962928895
Entity Type Individual
Full Name SUSAN CHACKO
Other Name SHELLI CHACKO
Practice Address 12000 N Virginia Avenue
Oklahoma City
OK 73120
Mailing Address 2714 Lamond Hill Ave
Edmond
OK 73034-6979
Practice Telephone 4058356757
Enumeration Date 2017-08-22
Last Update Date 2017-08-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers SUSAN CHACKO

NPI Name Taxonomy Address Enumeration
1790738227 Susan Chacko Physical Therapist 1 Hannah Ln, Valley Cottage, NY 10989-1308 2006-05-18
1568701704 Susan Chacko Nurse Practitioner 930 Elk Grove Town Ctr, Elk Grove Village, Elk Grove Village, IL 60007-3754 2013-02-07
1780607432 Susan Chacko Physical Therapist 36475 5 Mile Rd, Livonia, MI 48154-1971 2006-07-25

Office Location

Street Address 12000 N VIRGINIA AVENUE
City OKLAHOMA CITY
State OK
Zip Code 73120

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134768971 Nuvail Medical Services Inc In Home Supportive Care 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 2019-12-26
1134781677 Peak Solutions, LLC Clinic/Center 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 2019-07-05
1992363881 Laura Lynn's Home Care, LLC Home Health 9801 N May Ave, Oklahoma City, OK 73120 2019-06-05
1962992115 Erin Lyn Florer Occupational Therapist 12401 Trail Oak Dr, Oklahoma City, OK 73120 2018-05-14
1780171009 Diabetic Foot and Wound Center of Okfas Podiatrist 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 2018-04-23
1285134387 Motley Vision Professionals, Pllc Eyewear Supplier (Equipment, not the service) 9805 N. May Avenue, Oklahoma City, OK 73120 2018-02-15
1043729700 Jenna Marie Howard Social Worker 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 2017-09-26
1023533262 Farris Ree Stroupe Audiologist 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 2017-08-09
1881116200 Rebekah Danielle Kabariti Counselor 12000 N. Virgnia Ave, Oklahoma City, OK 73120 2017-07-07
1568999498 Tabitha Lynn Arias Dentist 11900 N Pennsylvania Ave Ste A1, Oklahoma City, OK 73120 2017-05-23
Find all providers in zip 73120

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164039517 Tommy Craig Smith Counselor 3601 N Classen Blvd Ste 102, Oklahoma City, OK 73118-3231 2020-09-29
1215563077 Beginning Steps Counselor 2709 S Magerus St, Oklahoma City, OK 73128-3215 2020-03-12
1932734431 Debra Lynn Spears Counselor 4605 W Nicklas Ave Apt B, Oklahoma City, OK 73132-6913 2020-03-05
1659905024 Ramona Martinez Counselor 2120 Sw 41st St, Oklahoma City, OK 73119-3614 2020-02-25
1699307058 Caitlin Cox Counselor 4341 Will Rogers Pkwy, Oklahoma City, OK 73108-1817 2020-02-04
1760020283 Casey Erin Marsh-shaevitz Counselor 1705 S Morgan Rd, Oklahoma City, OK 73128-7005 2019-12-16
1255982229 Kelli P Roland Counselor 1808 Ne 11th St, Oklahoma City, OK 73117-3606 2019-09-21
1609423979 Shelia Macon Counselor 3309 Ne 18th St, Oklahoma City, OK 73121-2881 2019-08-21
1184285470 Andrea Elura Clayton Counselor 12405 Arrowhead Way, Oklahoma City, OK 73120-8101 2019-06-26
1578026779 Jacquelyn Danielle Schoppa Counselor 7005 N Ann Arbor Ter, Oklahoma City, OK 73132-5915 2019-04-13
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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