Christopher Chapman, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Waterbury, CT
NPI 1659985273 · NPPES record last updated Sep 1, 2020
Key facts
- NPI
- 1659985273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 001385 (CT)
- Practice address
- 1183 N Main St
Waterbury, CT 06704-3115 - Phone
- (203) 805-4955
- Fax
- (203) 805-4955
- NPI assigned
- Sep 1, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1183 N Main St
Waterbury, CT 06704-3115
Phone (203) 565-9540
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251022002904 | CT | Practitioner - Mental Health Counselor | 9335637289 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001385 | CT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| As Addiction Services, Inc | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 001385 | CT | Yes |
Addresses
Primary practice location
1183 N Main St
Waterbury, CT 06704-3115
Mailing address
115 Woodford Avenue Ext
Plainville, CT 06062-2521
Phone (203) 565-9540
Other providers in Waterbury, CT
- Kevin Michael Chandon
- Mina Chang
- Victor Chang
- Brianna Chaparro
- Christavia Chapman
- Daron Chappel
- Mhiku M Charles
- Charmed Home Care LLC
- Chase Parkway Dental LLC
- Alex Chasy
All providers in Waterbury, CT · Addiction (Substance Use Disorder) Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.