Active NPI
Mary Rose Chapman, LPC
- Mental Health Counselor
- Durham, NC
National Provider Identifier
1619152378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6974
- Practice address
- 2400 Broad St Ste 1
Durham, NC 27704-2662 - Phone
- (919) 220-9800
- Fax
- (919) 317-4605
- NPI assigned
- Dec 31, 2007
- Last updated
- Dec 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6794 | NC | |
| Mental Health Counselor | 101YM0800X | 6974 | NC | Primary |
Addresses
Primary practice location
2400 Broad St Ste 1
Durham, NC 27704-2662
Mailing address
4705 University Dr BLDG 700
Durham, NC 27707-3489
Other practice location 1
941 W Andrews Ave Ste I
Henderson, NC 27536-2586
Phone (252) 438-4740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6794 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1619152378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 UNIVERSITY DR BLDG 700",
"city": "DURHAM",
"state": "NC",
"postal_code": "277073489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 BROAD ST STE 1",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042662",
"telephone_number": "919-220-9800",
"fax_number": "919-317-4605"
}
],
"practiceLocations": [
{
"address_1": "941 W Andrews Ave Ste I",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NC",
"postal_code": "275362586",
"country_code": "US",
"telephone_number": "252-438-4740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAPMAN",
"first_name": "MARY",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-31",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "6794",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "6974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.