Derae K Chapman, MA, TLLP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6362010194 Issued in MI

Practice address

2920 Fuller Ave NE Ste 208
Grand Rapids, MI 49505-3458

Phone

(616) 551-2916

Fax

(616) 226-4919

NPI assigned

Jul 10, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridge to Restoration Therapy Services

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1033888375
  NPD

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1336030196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 FULLER AVE NE STE 208",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053458",
            "telephone_number": "616-551-2916",
            "fax_number": "616-226-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 FULLER AVE NE STE 208",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053458",
            "telephone_number": "616-551-2916",
            "fax_number": "616-226-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "DERAE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MA, TLLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6362010194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Chapman-Turmo
• Alistair Jon Chapman, M.D.
• Antoinette Monique Chapman, LPC, CAADC
• Ben Chapman, PH.D.
• Datasha Renee Chapman
• Devin Chapman, DO
• Erika E Chapman, MOTRL, CBIS
• Heather Elise Chapman, BS, QIDP
• JD Chapman Jr.
• Lindsay Chapman

• All providers in Grand Rapids, MI
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.