CHARLES CHEVELL HURT
Counselor

Address: 1606 W Wallen Ave Apt 1, Chicago, IL 60626-6592

CHARLES CHEVELL HURT (NPI# 1619597259) 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) 1619597259
Entity Type Individual
Full Name CHARLES CHEVELL HURT
Gender Male
Practice Address 1606 W Wallen Ave Apt 1
Chicago
IL 60626-6592
Practice Telephone 7736809695
Mailing Address 1606 W Wallen Ave Apt 1
Chicago
IL 60626-6592
Mailing Telephone 7736809695
Certification Date 2020-04-23
Enumeration Date 2020-04-23
Last Update Date 2020-04-23
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101Y00000X Counselor 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1606 W WALLEN AVE APT 1
City CHICAGO
State IL
Zip Code 60626-6592

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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
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1457937542 Jamila Ford Counselor 5425 W Van Buren St, Chicago, IL 60644-4745 2021-03-20
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Competitor

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City CHICAGO
Zip Code 60626

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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.