Individual provider Active NPI

Allison Gordon Chapple, LPC

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1245395953
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4840 Issued in NC
Practice address
340 Stonebrook LN
Winston Salem, NC 27104-5135
Phone
(336) 765-2228
Fax
(336) 794-1655
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4840 NC Primary
Mental Health Counselor 101YM0800X 4840 NC

Addresses

Primary practice location

340 Stonebrook LN
Winston Salem, NC 27104-5135

Mailing address

340 Stonebrook LN
Winston Salem, NC 27104-5135
Phone (336) 765-2228

Other practice location 1

5175 Old Clemmons School Rd
Clemmons, NC 27012-9087
Phone (336) 718-3960

Other identifiers 1

IdentifierTypeStateIssuer
4840OtherNCLPC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ACHAPPLE321843@DIRECT.NOVANTHEALTH.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220003108 NC Practitioner - Mental Health Counselor 4880038652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4840NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 1, 2024 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients

Locations

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

5175 Old Clemmons School Rd
Clemmons, NC 27012
Phone (336) 718-3960

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: achapple321843@direct.novanthealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1245395953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 STONEBROOK LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271045135",
            "telephone_number": "336-765-2228",
            "fax_number": "336-794-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 STONEBROOK LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271045135",
            "telephone_number": "336-765-2228",
            "fax_number": "336-794-1655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5175 Old Clemmons School Rd",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270129087",
            "country_code": "US",
            "telephone_number": "336-718-3960",
            "fax_number": "336-766-3691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPPLE",
        "first_name": "ALLISON",
        "middle_name": "GORDON",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4840",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "4840",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ACHAPPLE321843@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "340 Stonebrook Ln",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271045135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.