Individual provider Active NPI

Judith W. Chappell, LCAS, LCMHS, CCS

  • Mental Health Counselor
  • Albemarle, NC
National Provider Identifier
1790802536
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S9397 Issued in NC
Practice address
1446 E Main St
Albemarle, NC 28001-5236
Phone
(336) 780-6507
Fax
(980) 581-8093
NPI assigned
Mar 26, 2007
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2070 NC
Mental Health Counselor 101YM0800X S9397 NC Primary

Addresses

Primary practice location

1446 E Main St
Albemarle, NC 28001-5236

Mailing address

1446 E Main St
Albemarle, NC 28001-5236
Phone (336) 780-6507

Other identifiers 2

IdentifierTypeStateIssuer
6112392MedicaidNC
NA3098P368MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241230001095 NC Practitioner - Mental Health Counselor 0840727095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearer Minds Counseling and Consulting PLLCGroup PAC ID 5991148215, 3 clinicians

Practice addresses (Care Compare)

1446 E Main St
Albemarle, NC 28001-5236
Phone (704) 550-5469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2070NCMDAddiction (Substance Use Disorder) Counselor
S9397NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clearer Minds Counseling and Consulting PLLC Addiction (Substance Use Disorder) CurrentSince Nov 5, 2024 Accepting new patients

Locations

1446 E Main St
Albemarle, NC 28001
Phone (704) 550-5469

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1790802536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 E MAIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280015236",
            "telephone_number": "336-780-6507",
            "fax_number": "980-581-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 E MAIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280015236",
            "telephone_number": "336-780-6507",
            "fax_number": "980-581-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "JUDITH",
        "middle_name": "W.",
        "credential": "LCAS, LCMHS, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2070",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S9397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6112392",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA3098P368",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.