Individual provider Active NPI

Patricia Sue Chapin, LPC

  • Professional Counselor
  • Yuma, AZ
National Provider Identifier
1023331634
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2005024275 Issued in MO
Practice address
McAs Box 99132
MCCS, M&FS, Counseling Services Branch
Yuma, AZ 85369-9132
Phone
(928) 269-2561
NPI assigned
Mar 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-1024 WY
Professional Counselor 101YP2500X 2005024275 MO Primary

Addresses

Primary practice location

McAs Box 99132
MCCS, M&FS, Counseling Services Branch
Yuma, AZ 85369-9132

Mailing address

McAs Box 99132
MCCS, M&FS, Counseling Services Branch
Yuma, AZ 85369-9132
Phone (928) 269-2561

Other identifiers 2

IdentifierTypeStateIssuer
2005024275OtherMOLICENSED PROFESSIONAL COUNSELOR
LPC-1024OtherWYLICENSED PROFESSIONAL COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2005024275MOMDProfessional Counselor
LPC-1024WYMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1023331634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MCAS BOX 99132",
            "address_2": "MCCS, M&FS, COUNSELING SERVICES BRANCH",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853699132",
            "telephone_number": "928-269-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCAS BOX 99132",
            "address_2": "MCCS, M&FS, COUNSELING SERVICES BRANCH",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853699132",
            "telephone_number": "928-269-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPIN",
        "first_name": "PATRICIA",
        "middle_name": "SUE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-1024",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005024275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "2005024275",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "LPC-1024",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.