Active NPI
Denelle M Chapman, LPC-IT
- Mental Health Counselor
- West Bend, WI
National Provider Identifier
1760117469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7061-226
- Practice address
- 400 W River Dr
West Bend, WI 53090-1518 - Phone
- (414) 322-2044
- NPI assigned
- Jul 18, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7061-226 | WI | Primary |
Addresses
Primary practice location
400 W River Dr
West Bend, WI 53090-1518
Mailing address
217 E Willow Rd
Fox Point, WI 53217-2761
Phone (414) 322-2044
Other practice location 1
217 E Willow Rd
Fox Point, WI 53217-2761
Phone (414) 322-2044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
400 W River Dr
West Bend, WI 53090-1518
Phone 262334434013
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7061-226 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettle Moraine Counseling LLC | Single Specialty | Current | Accepting new patients |
| Affiliated Clinical Services Inc | Single Specialty | Past | Accepting new patients |
Locations
400 W River Dr
West Bend, WI 53090
Phone (262) 334-4340
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Bend, WI
- NPI 1568790954
Single Specialty
-
- Multi-Specialty Clinic/Center
- West Bend, WI
- NPI 1851473698
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1760117469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 E WILLOW RD",
"city": "FOX POINT",
"state": "WI",
"postal_code": "532172761",
"telephone_number": "414-322-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W RIVER DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530901518",
"telephone_number": "414-322-2044"
}
],
"practiceLocations": [
{
"address_1": "217 E Willow Rd",
"address_purpose": "LOCATION",
"city": "Fox Point",
"state": "WI",
"postal_code": "532172761",
"country_code": "US",
"telephone_number": "414-322-2044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAPMAN",
"first_name": "DENELLE",
"middle_name": "M",
"credential": "LPC-IT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-18",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "7061-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.