Individual provider Active NPI

Samantha Jane Chaplin, LCSW

  • Counselor
  • Marion, IN
National Provider Identifier
1013243260
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3401099 Issued in IN
Practice address
5718 N Lagro Rd
Marion, IN 46952-9735
Phone
(678) 650-7062
NPI assigned
Oct 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3401099 IN Primary

Addresses

Primary practice location

5718 N Lagro Rd
Marion, IN 46952-9735

Mailing address

5718 N Lagro Rd
Null
Marion, IN 46952-9735
Phone (678) 650-7062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223003535 IN Practitioner - Clinical Social Worker 0042705378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

105 N Wolf Rd
Prospect Heights, IL 60070-1750

415 W Golf Rd
Arlington Heights, IL 60005-3923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Indiana LLC CurrentSince Dec 19, 2025 Accepting new patients
Chaplin Counseling and Consulting, LLC CurrentSince Aug 25, 2024 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

10352 N 600 E
Demotte, IN 46310
Phone (219) 345-5211

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1013243260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 N LAGRO RD",
            "address_2": "NULL",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469529735",
            "telephone_number": "678-650-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5718 N LAGRO RD",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469529735",
            "telephone_number": "678-650-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPLIN",
        "first_name": "SAMANTHA",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "3401099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.