CHANDLER KOEHLER – Mental Health Counselor, NPI 1164036323

CHANDLER KOEHLER is a healthcare provider. based in Spirit lake, Iowa. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for CHANDLER KOEHLER is 1164036323

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
CHANDLER KOEHLER
NPI
1164036323
Phone
Not provided
Address
1401 HILL AVE
Enumeration Date
4 September 2020
Last Update Date
27 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7122622922
Graduation Year
2020 (6 years ago)
PAC ID
6305296906
Group Practice PAC ID
6204730450
Professional Enrollment ID
I20231222000539
Address ID
IA513601333SP1401XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

630 MENTAL HEALTH COUNSELOR in IA

Provider Addresses for CHANDLER KOEHLER

  • 1401 HILL AVE

    SPIRIT LAKE, IA 513601333

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231222000539IMental Health CounselorIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 51360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204730450View full group profile
NameSpecialtyState
-IA
Mental Health CounselorIA
Nurse PractitionerIA
Mental Health CounselorIA
Mental Health CounselorIA
Mental Health CounselorIA
Mental Health CounselorIA
Clinical Social WorkerIA
P S Y C H I A T R YWI
Mental Health CounselorIA

Reviews

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Frequently asked questions

What is the registry number for CHANDLER KOEHLER?
The registry entry for CHANDLER KOEHLER shows NPI 1164036323.
Should I treat CHANDLER KOEHLER as an active provider?
Patients and plans typically see CHANDLER KOEHLER as active in the national extract.
What type of care does CHANDLER KOEHLER provide?
CHANDLER KOEHLER's profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to CHANDLER KOEHLER?
CHANDLER KOEHLER shows a connection to Spirit Lake, Iowa in registry-derived data.
Can I export CHANDLER KOEHLER's record?
You can download the official NPPES record; we summarize key fields for readability.

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