Individual provider Active NPI

Valencia Lashawn Campbell-Chapin, ED.D

  • Professional Counselor
  • Pantego, TX
National Provider Identifier
1386145480
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75786 Issued in TX
Practice address
3610 Smith Barry Rd Ste 105
Pantego, TX 76013-4633
Phone
(817) 210-5674
Fax
(888) 977-3087
NPI assigned
Feb 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 75786 TX Primary

Addresses

Primary practice location

3610 Smith Barry Rd Ste 105
Pantego, TX 76013-4633

Mailing address

3610 Smith Barry Rd Ste 105
Pantego, TX 76013-4633
Phone (817) 210-5674

Other identifiers 1

IdentifierTypeStateIssuer
386637802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507001643 TX Practitioner - Mental Health Counselor 7911347000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Better Tomorrows Begin Today Counseling PLLC Professional CurrentSince Apr 2, 2024 Accepting new patients

Locations

2410 SE 121st Ave
Ste 206
Portland, OR 97216
Phone (503) 446-5450

4275 Little Rd
Ste 2056
Arlington, TX 76016

3610 Smith Barry Rd
Ste 105
Pantego, TX 76013
Phone (817) 210-5674

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1386145480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 SMITH BARRY RD STE 105",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134633",
            "telephone_number": "817-210-5674",
            "fax_number": "888-977-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 SMITH BARRY RD STE 105",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134633",
            "telephone_number": "817-210-5674",
            "fax_number": "888-977-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL-CHAPIN",
        "first_name": "VALENCIA",
        "middle_name": "LASHAWN",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386637802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pantego, TX

Sources for this page

Verify at the official NPI Registry.