Individual provider Active NPI

Dawn Parr Chappel, LMFT

  • Marriage & Family Therapist
  • Holly Hill, FL
National Provider Identifier
1255624573
Registry record updated Sep 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2417 Issued in FL
Practice address
721 Ridgewood Ave
Unit 6
Holly Hill, FL 32117-3646
Phone
(386) 252-3414
Fax
(386) 252-3495
NPI assigned
May 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT2417 FL Primary

Addresses

Primary practice location

721 Ridgewood Ave
Unit 6
Holly Hill, FL 32117-3646

Mailing address

721 Ridgewood Ave
Unit 6
Holly Hill, FL 32117-3646
Phone (386) 252-3414

Other names 1

  • Dawn Deann Parr Former name

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

State licenses

LicenseStateTypeSpecialty
MT2417FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410048000000",
    "number": "1255624573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 RIDGEWOOD AVE",
            "address_2": "UNIT 6",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321173646",
            "telephone_number": "386-252-3414",
            "fax_number": "386-252-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 RIDGEWOOD AVE",
            "address_2": "UNIT 6",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321173646",
            "telephone_number": "386-252-3414",
            "fax_number": "386-252-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPEL",
        "first_name": "DAWN",
        "middle_name": "PARR",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2014-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "PARR",
            "middle_name": "DEANN",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holly Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2014; 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.