Individual provider Active NPI

Adam Chapko, MA, LPC, CAADC

  • Addiction (Substance Use Disorder) Counselor
  • Gaylord, MI
National Provider Identifier
1194121483
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6401013216 Issued in MI
Practice address
711 S Illinois Ave
Gaylord, MI 49735-1763
Phone
(989) 732-4357
NPI assigned
Nov 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401013216 MI
Mental Health Counselor 101YM0800X 6401013216 MI
Professional Counselor 101YP2500X 6401013216 MI
Addiction (Substance Use Disorder) Counselor 101YA0400X 6401013216 MI Primary

Addresses

Primary practice location

711 S Illinois Ave
Gaylord, MI 49735-1763

Mailing address

711 S Illinois Ave
Gaylord, MI 49735-1763
Phone (989) 732-4357

Other practice location 1

616 Petoskey St Ste 5
Petoskey, MI 49770-2779
Phone (616) 301-8000

Other practice location 2

608 Wright Ave
Alma, MI 48801-1600
Phone (989) 463-4971 ext. 4158

Other practice location 3

121 N Pine River St
Ithaca, MI 48847-1039
Phone (989) 430-4757

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401013216MIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Therapeutic Consultants PC CurrentSince Mar 5, 2023 Accepting new patients

Locations

711 S Illinois Ave
Gaylord, MI 49735
Phone (989) 732-4357

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": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1194121483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S ILLINOIS AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351763",
            "telephone_number": "989-732-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S ILLINOIS AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351763",
            "telephone_number": "989-732-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 Petoskey St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497702779",
            "country_code": "US",
            "telephone_number": "616-301-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "608 Wright Ave",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "MI",
            "postal_code": "488011600",
            "country_code": "US",
            "telephone_number": "989-463-4971 x4158",
            "fax_number": "989-463-6515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 N Pine River St",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "MI",
            "postal_code": "488471039",
            "country_code": "US",
            "telephone_number": "989-430-4757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPKO",
        "first_name": "ADAM",
        "credential": "MA, LPC, CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-13",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401013216",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401013216",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013216",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401013216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.