National Provider Identifier

Kanza Chatman, LMHC-D

Kanza Chatman, LMHC-D is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Fairport, NY and a listed phone number of (585) 479-0211.

NPI 1396370904Fairport, NYMental Health Counselor

Profile Overview

NPI
1396370904
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
March 04, 2020
Last Updated
January 21, 2026

Practice Location

  • 1349 Ayrault RD Apt 101
  • Fairport, NY 14450-8913

Phone: (585) 479-0211

Mailing Address

  • PO Box 173
  • Fairport, NY 14450-0173

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1396370904
Entity Type
Individual
Last Name
Chatman
First Name
Kanza
Credential
LMHC-D
Mailing Street Address
PO Box 173
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-0173
Mailing Country
US
Mailing Phone
(585) 479-0211
Practice Street Address
1349 Ayrault RD Apt 101
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-8913
Practice Country
US
Practice Phone
(585) 479-0211
Enumeration Date
March 04, 2020
Last Updated
January 21, 2026
Sex
Female
Sole Proprietor
Yes
Certification Date
January 21, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)
Other Identifiers
1578640298 (NY)