Shelly Chaplin

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1421 Bluff Rd
Columbia, SC 29201-4809

Phone

(803) 733-5855

NPI assigned

Oct 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Crossroads Treatment Center of Columbia

  • Clinic Pharmacy
  • Columbia, SC
  • NPI 1689950636
  NPD (past)
• Crossroads Treatment Center of Columbia, PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia, SC
  • NPI 1578006433
  NPD (past)

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1659971836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 BLUFF RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292014809",
            "telephone_number": "803-733-5855",
            "fax_number": "803-733-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 BLUFF RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292014809",
            "telephone_number": "803-733-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPLIN",
        "first_name": "SHELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101Y00000X",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Columbia",
            "affiliation": "N",
            "endpointDescription": "Columbia",
            "address_1": "1421 Bluff Rd",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292014809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiana Latrell Chandler
• Nikhitha Chandrashekar
• Celena M. Chaney, RBT
• Change Your Reality
• Ruth Chao
• Ashley L Chapman, NP
• Buffy R Chapman, LPC
• Carly Chapman, DPM
• Joan Jackson Chapman, LMSW
• Kimberly Chapman, FNP

• Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.