Active NPI
Chelsi Nicole Gapasin
- Counselor
- Lodi, CA
National Provider Identifier
1174198634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 541 S Ham LN Ste a&B
Lodi, CA 95242-3530 - Phone
- (856) 439-6111
- NPI assigned
- May 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
541 S Ham LN Ste a&B
Lodi, CA 95242-3530
Mailing address
7246 Remmet Ave
Canoga Park, CA 91303-1531
Phone (856) 439-6111
Other names 1
- Chelsi Nicole Copenhaver
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Treatment Centers, LLC | Current | Accepting new patients |
Locations
7246 Remmet Ave
Canoga Park, CA 91303
541 S Ham Ln
Ste Ab
Lodi, CA 95242
Phone (209) 224-8940
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.
-
- Methadone Clinic
- Lodi, CA
- NPI 1649669979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1174198634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7246 REMMET AVE",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913031531",
"telephone_number": "856-439-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 S HAM LN STE A&B",
"city": "LODI",
"state": "CA",
"postal_code": "952423530",
"telephone_number": "856-439-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAPASIN",
"first_name": "CHELSI",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHELSI",
"last_name": "COPENHAVER",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.