Individual provider Active NPI

Wendy L Chaput, LPC

  • Professional Counselor
  • De Pere, WI
National Provider Identifier
1619201506
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2771 - 125 Issued in WI
Practice address
1511 W Main Ave
Suite 100
De Pere, WI 54115-9556
Phone
(920) 403-7600
Fax
(920) 403-7360
NPI assigned
Sep 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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 2771 - 125 WI Primary

Addresses

Primary practice location

1511 W Main Ave
Suite 100
De Pere, WI 54115-9556

Mailing address

PO Box 13156
Green Bay, WI 54307-3156
Phone (920) 403-7600

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
2771 - 125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Employee Resource Center, Inc. Past Accepting new patients

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": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1619201506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13156",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543073156",
            "telephone_number": "920-403-7600",
            "fax_number": "920-403-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 W MAIN AVE",
            "address_2": "SUITE 100",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159556",
            "telephone_number": "920-403-7600",
            "fax_number": "920-403-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPUT",
        "first_name": "WENDY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2771 - 125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Pere, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.