Organization Active NPI

Purple Elephant Mindfulness Therapy , LLC

  • Clinical Social Worker
  • Saint Albans, VT
National Provider Identifier
1700513389
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PURPLE ELEPHANT MINDFULNESS THERAPY , LLC
Practice address
9 Ewell CT
Saint Albans, VT 05478-1810
Phone
(802) 752-6628
NPI assigned
Aug 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Rebecca ChaplinNPI 1205587581
Title
Owner
Phone
(802) 752-6628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9 Ewell CT
Saint Albans, VT 05478-1810

Mailing address

PO Box 941
Saint Albans, VT 05478-0941
Phone (802) 752-6628

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca@purpleelephantmt.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221101000249 VT Part B Supplier - Clinic/Group Practice 5597132787 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Albans, VT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1700513389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054780941",
            "telephone_number": "802-752-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EWELL CT",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781810",
            "telephone_number": "802-752-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE ELEPHANT MINDFULNESS THERAPY , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "CHAPLIN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-752-6628"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca@purpleelephantmt.com",
            "affiliation": "N",
            "address_1": "9 Ewell Ct",
            "city": "Saint Albans",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054781810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.