Janice Chapman, LPC, LMFT
Individual provider Active NPI Counselor · Klondike, TX
NPI 1306114244 · NPPES record last updated Dec 7, 2011
Key facts
- NPI
- 1306114244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 02008 (TX)
- Practice address
- 292 Co. Rd. 2035
Klondike, TX 75448-6461 - Phone
- (903) 395-3266
- NPI assigned
- Dec 7, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02008 | TX | MD | Counselor |
| 0306 | TX | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 02008 | TX | Yes |
| Marriage & Family Therapist | 106H00000X | 0306 | TX |
Addresses
Primary practice location
292 Co. Rd. 2035
Klondike, TX 75448-6461
Mailing address
292 Co. Rd. 2035
Klondike, TX 75448-6461
Phone (903) 395-3266
Other providers in Klondike, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.