David Edward Chmielecki, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1555 Elm St
Manchester, NH 03101-1203

Phone

(603) 668-4111

Fax

(603) 628-7757

NPI assigned

May 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• BK Behavioral Health Center

  • Addiction (Substance Use Disorder) Counselor
  • Laurel, MD
  • NPI 1295225761
  NPD (past)

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1154598241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CYPRESS ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033628",
            "telephone_number": "603-668-4111",
            "fax_number": "603-628-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011203",
            "telephone_number": "603-668-4111",
            "fax_number": "603-628-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHMIELECKI",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child Health Servics (Teen Health Clinic)
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• Andrea Marie Chipman, MS, BCBA
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• Jennifer Chisholm, LICSW, MLADC
• Stephanie Choi
• Voon C Chong, ATC, L
• Alpana Chopra, MD
• Ishwar Chander Chopra, MD
• Manish Chopra, MD

• All providers in Manchester, NH
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.