COLLEEN CHAHAL – Professional Counselor, NPI 1144768425

COLLEEN CHAHAL is a healthcare provider. based in Bradford, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. PC009419 (PA). The NPI Number for COLLEEN CHAHAL is 1144768425

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
COLLEEN CHAHAL
NPI
1144768425
Phone
(814) 362-6535
Address
110 CAMPUS DR
Enumeration Date
7 February 2017
Last Update Date
7 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8143626535
Graduation Year
2013 (13 years ago)
PAC ID
7719339738
Group Practice PAC ID
6103864681
Professional Enrollment ID
I20241219002248
Address ID
PA167011982BR110XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,541 MENTAL HEALTH COUNSELOR in PA

Provider Addresses for COLLEEN CHAHAL

  • 110 CAMPUS DR

    BRADFORD, PA 167011982

    Phone: (814) 362-6535

    Fax: (814) 362-7358

    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: 2024-12-19

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
I20241219002248IMental Health CounselorPATBD

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 16701)

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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: 6103864681View full group profile
NameSpecialtyState
Mental Health CounselorPA
Mental Health CounselorPA
Nurse PractitionerPA
P S Y C H I A T R YNY
P S Y C H I A T R YPA
Mental Health CounselorPA
-WY
Clinical Social WorkerPA
-NY
Mental Health CounselorNY

Reviews

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Frequently asked questions

Can I verify COLLEEN CHAHAL with an NPI only?
You can start verification with NPI 1144768425 for COLLEEN CHAHAL, then check state licensing separately.
Can I rely on COLLEEN CHAHAL being an active provider?
As of the registry snapshot, COLLEEN CHAHAL is marked active.
What is COLLEEN CHAHAL's primary classification?
Professional Counselor is the headline specialty for COLLEEN CHAHAL here. Clinical services aligned with this taxonomy classification.
Where is COLLEEN CHAHAL based?
COLLEEN CHAHAL is tied to Bradford, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is the information about COLLEEN CHAHAL up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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