Kimberly Chupa

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

188785 Issued in OH

Practice address

408 Seneca St
Niles, OH 44446-2418

Phone

(330) 442-2341

NPI assigned

Jun 7, 2024

Last updated

Jun 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1164264594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 N CANFIELD NILES RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445151110",
            "telephone_number": "330-442-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 SENECA ST",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444462418",
            "telephone_number": "330-442-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUPA",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "188785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea L Catone
• Amanda Chambers
• Heather Champion
• Alex Chick
• Lindsey A Chisholm
• Angela Church-Bukus, MS
• Nicole Churilla
• Michael Thomas Ciletti, MD
• City of Niles (Niles City Health Department)
• Tracy Clark, MA, CCC-SLP

• Addiction (Substance Use Disorder) Counselor in Niles, OH
• Providers in Niles, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

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