Active NPI
Susan Michelle Chappelear, LPC, CADC-I
- Professional Counselor
- Coos Bay, OR
National Provider Identifier
1649423013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C2271
- Practice address
- 375 Park Ave, Suite 2
Coos Bay, OR 97420 - Phone
- (541) 808-5537
- Fax
- (855) 240-3453
- NPI assigned
- Oct 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C2271 | OR | Primary |
Addresses
Primary practice location
375 Park Ave, Suite 2
Coos Bay, OR 97420
Mailing address
375 Park Ave, Suite 2
Coos Bay, OR 97420
Phone (541) 808-5537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500695312 | Medicaid | OR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C2271 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace and Hope Counseling, LLC | Professional | Current | 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": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1649423013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 PARK AVE, SUITE 2",
"city": "COOS BAY",
"state": "OR",
"postal_code": "97420",
"telephone_number": "541-808-5537",
"fax_number": "855-240-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 PARK AVE, SUITE 2",
"city": "COOS BAY",
"state": "OR",
"postal_code": "97420",
"telephone_number": "541-808-5537",
"fax_number": "855-240-3453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPPELEAR",
"first_name": "SUSAN",
"middle_name": "MICHELLE",
"credential": "LPC, CADC-I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-29",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C2271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500695312",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.