Individual provider Active NPI

Lynn R Chapman-Deloge, MA, LMHC, BC-DMT

  • Mental Health Counselor
  • Canton, MA
National Provider Identifier
1245956788
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11549 Issued in MA
Practice address
500 Chapman St Unit 203
Canton, MA 02021-2040
Phone
(781) 828-2418
NPI assigned
Oct 17, 2022
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11549 MA Primary

Addresses

Primary practice location

500 Chapman St Unit 203
Canton, MA 02021-2040

Mailing address

500 Chapman St Unit 203
Canton, MA 02021-2040
Phone (781) 828-2418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Oct 14, 2024 through Oct 14, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11549MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Psychology Group, LLC CurrentSince Oct 23, 2022 Accepting new patients

Locations

500 Chapman St
Unit 203
Canton, MA 02021
Phone (781) 562-1117

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, 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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1245956788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHAPMAN ST UNIT 203",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212040",
            "telephone_number": "781-828-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHAPMAN ST UNIT 203",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212040",
            "telephone_number": "781-828-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN-DELOGE",
        "first_name": "LYNN",
        "middle_name": "R",
        "credential": "MA, LMHC, BC-DMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "11549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

Verify at the official NPI Registry.