Chastidy Mariah Chacon, NCC, LPC
NPI 1508581612ActiveIndividual· Counselor, Professional· Greeley, CO
Counselor, Professional (NCC, LPC) with San Luis Valley Community Mental Health Center, Inc., practicing in Greeley, Colorado. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1508581612 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NCC, LPC |
| Sole proprietor | No |
| NPI issued | Oct 11, 2022 |
| Last updated in NPPES | Nov 15, 2024 |
| Certified by provider | Nov 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LPC.0018539 | CO |
| Counselor, Mental Health | 101YM0800X | LPC.0018539 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (CO) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- San Luis Valley Community Mental Health Center, Inc.Alamosa, CO · 32 clinicians
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