Individual provider Active NPI

Marianne Chapman, LMHC

  • Mental Health Counselor
  • Coral Gables, FL
National Provider Identifier
1619198660
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 4092 Issued in FL
Practice address
300 Sevilla Ave
Suite 209
Coral Gables, FL 33134-6636
Phone
(904) 710-9420
Fax
(931) 459-2326
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 4092 FL Primary

Addresses

Primary practice location

300 Sevilla Ave
Suite 209
Coral Gables, FL 33134-6636

Mailing address

1820 Sevilla Blvd
Suite 207
Atlantic Beach, FL 32233-5636
Phone (904) 716-2949

Other identifiers 3

IdentifierTypeStateIssuer
59-3719429OtherFLTAX ID #
MH4092OtherFLSTATE OF FL-LICENSE #
Z7649OtherFLBCBS OF FL-PROVIDER #

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

State licenses

LicenseStateTypeSpecialty
MH 4092FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1619198660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SEVILLA BLVD",
            "address_2": "SUITE 207",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322335636",
            "telephone_number": "904-716-2949",
            "fax_number": "931-459-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SEVILLA AVE",
            "address_2": "SUITE 209",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346636",
            "telephone_number": "904-710-9420",
            "fax_number": "931-459-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "MARIANNE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 4092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "59-3719429",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FL-LICENSE #",
            "identifier": "MH4092",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL-PROVIDER #",
            "identifier": "Z7649",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.