Individual provider Active NPI

Brian Chipman

  • Mental Health Counselor
  • Holyoke, MA
National Provider Identifier
1083141311
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
476 Appleton St
Holyoke, MA 01040-4186
Phone
(978) 799-7397
NPI assigned
May 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

476 Appleton St
Holyoke, MA 01040-4186

Mailing address

714 Fuller St
Ludlow, MA 01056-1313
Phone (413) 687-1836

Other practice location 1

714 Fuller St
Ludlow, MA 01056-1313
Phone (413) 687-1836

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

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083141311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 FULLER ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561313",
            "telephone_number": "413-687-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 APPLETON ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010404186",
            "telephone_number": "978-799-7397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 Fuller St",
            "address_purpose": "LOCATION",
            "city": "Ludlow",
            "state": "MA",
            "postal_code": "010561313",
            "country_code": "US",
            "telephone_number": "413-687-1836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIPMAN",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.