Active NPI
Lydia Nichole Chapelo
- Behavior Technician
- Akron, MI
National Provider Identifier
1295324234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3258 Ringle Rd
Akron, MI 48701-9519 - Phone
- (989) 325-1733
- NPI assigned
- Jan 14, 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MI | Primary |
Addresses
Primary practice location
3258 Ringle Rd
Akron, MI 48701-9519
Mailing address
830 W Gilford Rd
Caro, MI 48723-1013
Phone (989) 325-1733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C140564630328 | Other | MI | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Chapelol@msu.edu | Direct | Thrive Enrichment Center, LLC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1295324234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 W GILFORD RD",
"city": "CARO",
"state": "MI",
"postal_code": "487231013",
"telephone_number": "989-325-1733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3258 RINGLE RD",
"city": "AKRON",
"state": "MI",
"postal_code": "487019519",
"telephone_number": "989-325-1733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPELO",
"first_name": "LYDIA",
"middle_name": "NICHOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "C140564630328",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Chapelol@msu.edu",
"affiliation": "Y",
"endpointDescription": "Email",
"affiliationName": "Thrive Enrichment Center, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3258 Ringle Rd",
"city": "Akron",
"state": "MI",
"country_code": "US",
"postal_code": "487019519",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Akron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.