Individual provider Active NPI

Allyson Champlin

  • Developmental Therapist
  • Brownsburg, IN
National Provider Identifier
1114705837
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
4695 E Northfield Dr
Brownsburg, IN 46112-1784
Phone
(317) 520-4748
Fax
(888) 498-5529
NPI assigned
Sep 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

4695 E Northfield Dr
Brownsburg, IN 46112-1784

Mailing address

1353 E Main St
Brownsburg, IN 46112-1433
Phone (317) 520-4748

Other practice location 1

1353 E Main St
Brownsburg, IN 46112-1433
Phone (317) 520-4748

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

Practice roles

OrganizationSpecialtyStatusNew patients
K1DS Count Therapy, LLC CurrentSince Sep 17, 2023 Accepting new patients

Locations

1353 E Main St
Brownsburg, IN 46112
Phone (317) 294-5242

4695 E Northfield Dr
Brownsburg, IN 46112
Phone (260) 515-1957

Organizations & group practices 1

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": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1114705837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 E MAIN ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121433",
            "telephone_number": "317-520-4748",
            "fax_number": "888-498-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 E NORTHFIELD DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121784",
            "telephone_number": "317-520-4748",
            "fax_number": "888-498-5529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1353 E Main St",
            "address_purpose": "LOCATION",
            "city": "Brownsburg",
            "state": "IN",
            "postal_code": "461121433",
            "country_code": "US",
            "telephone_number": "317-520-4748",
            "fax_number": "888-498-5529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMPLIN",
        "first_name": "ALLYSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.