Individual provider Active NPI

Chelsea Marie Kunapuli, AMFT

  • Mental Health Counselor
  • Moorpark, CA
National Provider Identifier
1306551106
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
122465 Issued in CA
Practice address
7084 Bergamot Ave
Moorpark, CA 93021-5064
Phone
(805) 917-6860
Fax
(805) 917-6861
NPI assigned
Jan 17, 2023
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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 122465 CA Primary

Addresses

Primary practice location

7084 Bergamot Ave
Moorpark, CA 93021-5064

Mailing address

7084 Bergamot Ave
Moorpark, CA 93021-5064
Phone (805) 917-6860

Other names 1

  • Chelsea Marie Balcezak Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chelsea@rootedharmonycounseling.com Allison Lieberman, LMFT, INC

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Lieberman, LMFT, Inc CurrentSince Jan 22, 2023 Accepting new patients

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": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1306551106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7084 BERGAMOT AVE",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930215064",
            "telephone_number": "805-917-6860",
            "fax_number": "805-917-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7084 BERGAMOT AVE",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930215064",
            "telephone_number": "805-917-6860",
            "fax_number": "805-917-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNAPULI",
        "first_name": "CHELSEA",
        "middle_name": "MARIE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "122465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chelsea@rootedharmonycounseling.com",
            "affiliation": "Y",
            "affiliationName": "Allison Lieberman, LMFT, INC",
            "address_1": "7084 Bergamot Ave",
            "city": "Moorpark",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930215064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "BALCEZAK",
            "middle_name": "MARIE",
            "credential": "AMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.