NPIMap

Organization Active NPI

Chaparral Youth Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Maxton, NC
National Provider Identifier
1306908009
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CHAPARRAL YOUTH SERVICES
Doing business as
Chaparral Youth Services
Practice address
5973 McLeod Dr
Maxton, NC 28364-7211
Phone
(910) 827-1169
Fax
(910) 593-3577
NPI assigned
Dec 16, 2006
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SHEREE L. SAMPSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Sheree L SampsonNPI 1912378993
Title
LSW/Owner
Phone
(910) 827-1169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL078170 NC
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5973 McLeod Dr
Maxton, NC 28364-7211

Mailing address

16 Stanley St
Pembroke, NC 28372-8540
Phone (910) 827-1169

Other practice location 1

812 Candy Park Rd Ste 7101A
Pembroke, NC 28372-9121
Phone (910) 775-9076

Other practice location 2

4850 Fayetteville Rd Ste C
Lumberton, NC 28358-2100
Phone (910) 827-1169

Other names 1

  • Chaparral Youth Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chaparral Youth Services5 organizations share this tax ID, including this one
Part of
Chaparral Youth Services

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1306908009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 STANLEY ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728540",
            "telephone_number": "910-827-1169",
            "fax_number": "910-593-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5973 MCLEOD DR",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283647211",
            "telephone_number": "910-827-1169",
            "fax_number": "910-593-3577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 Candy Park Rd Ste 7101A",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "NC",
            "postal_code": "283729121",
            "country_code": "US",
            "telephone_number": "910-775-9076",
            "fax_number": "910-593-3577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4850 Fayetteville Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582100",
            "country_code": "US",
            "telephone_number": "910-827-1169",
            "fax_number": "910-593-3577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHAPARRAL YOUTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHEREE L. SAMPSON",
        "enumeration_date": "2006-12-16",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LSW/OWNER",
        "authorized_official_telephone_number": "910-827-1169"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL078170",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chaparral Youth Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maxton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.