Individual provider Active NPI

Marilyn Francine Chamlee, LMHC, RN

  • Mental Health Counselor
  • Pinellas Park, FL
National Provider Identifier
1578567293
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4043 Issued in FL
Practice address
10707 66TH St
Ste 15
Pinellas Park, FL 33782-2352
Phone
(727) 527-4063
Fax
(727) 527-8293
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH4043 FL Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN1673612 FL

Addresses

Primary practice location

10707 66TH St
Ste 15
Pinellas Park, FL 33782-2352

Mailing address

3215 38TH St N
St Petersburg, FL 33713-2341
Phone (727) 527-4063

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
MH4043FLMDMental Health Counselor
RN1673612FLMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1578567293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 38TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337132341",
            "telephone_number": "727-527-4063",
            "fax_number": "727-527-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 66TH ST",
            "address_2": "STE 15",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822352",
            "telephone_number": "727-527-4063",
            "fax_number": "727-527-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMLEE",
        "first_name": "MARILYN",
        "middle_name": "FRANCINE",
        "credential": "LMHC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4043",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN1673612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.