CHAMBLISS COUNSELING SERVICES PLLC — NPI 1023903341 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1023903341

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

101YP2500X (CMS E2)

Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor

Box 32 Service Location & ZIP+4

2076 GRAVEL HILL RD, FAYETTE, MS, 39069-5057

✓ 9-Digit EDI 837 ZIP+4 (39069-5057)

Practice Phone & Referral Fax

(601) 809-6968

Fax: (601) 610-7147

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1023903341 (CHAMBLISS COUNSELING SERVICES PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1023903341` (NPI-2 Organization / Facility)
Provider / Legal Name	CHAMBLISS COUNSELING SERVICES PLLC
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor NUCC Code: `101YP2500X` (Counselor, Professional)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2076 GRAVEL HILL RD, FAYETTE, MS, 39069-5057
Practice Telephone / Fax	Tel: (601) 809-6968 \| Fax: (601) 610-7147
Administrative Mailing Address	2076 GRAVEL HILL RD, FAYETTE, MS, 39069-5057
Enumeration & Last Sync	Enumerated: 2025-06-09 \| CMS Record Updated: 2025-06-09
Authorized Official	SHARRON CHAMBLISS (LPC, Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2076 GRAVEL HILL RD, FAYETTE, MS, 39069-5057

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Plain-English Taxonomy & CMS Crosswalk (101YP2500X)

What Does Taxonomy Code 101YP2500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YP2500X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor"

CMS-1500 Medicare Specialty Crosswalk: CMS Code E2 (Licensed Professional Counselor)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, Professional for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CHAMBLISS COUNSELING SERVICES PLLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251S00000X` — Community/Behavioral Health Plain English: Licensed & Credentialed Community/Behavioral Health	State: N/A \| License: `Verified` \| Primary: Secondary
`101YP2500X` — Counselor, Professional Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CHAMBLISS COUNSELING SERVICES PLLC (NPI #1023903341)