Active NPI
Clarence E Chapman, LPCC-S, LICDC
- Professional Counselor
- Crooksville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1700102-SUPV
- Practice address
- 1325 State Route 13 SE
Crooksville, OH 43731-9568 - Phone
- (740) 589-0440
- NPI assigned
- Jun 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1700102-SUPV | OH | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 161037 | OH |
Addresses
Primary practice location
1325 State Route 13 SE
Crooksville, OH 43731-9568
Mailing address
1325 State Route 13 SE
Crooksville, OH 43731-9568
Phone (740) 589-0440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1325 State Route 13 SE
Crooksville, OH 43731-9568
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161037 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.1700102-SUPV | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Group Home, LLC | Current | Accepting new patients | |
| Phoenix Group Home, LLC | Current | Accepting new patients | |
| Health Recovery Services, Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Health Recovery Services, Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
306 W Union St
Athens, OH 45701
Phone (740) 764-4529
117 W Main St
Ste 107
Lancaster, OH 43130
Phone (740) 689-1890
151 S Kennebec Ave
McConnelsville, OH 43756
Phone (740) 675-0129
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pathihc/r4/
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Portsmouth, OH
- NPI 1083146013
-
- Substance Abuse Rehabilitation Facility
- Cincinnati, OH
- NPI 1336654854
-
- Mental Health Counselor
- Athens, OH
- NPI 1427024124
Addiction (Substance Use Disorder)
-
- Addiction (Substance Use Disorder) Counselor
- Athens, OH
- NPI 1881957587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1881044394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 STATE ROUTE 13 SE",
"city": "CROOKSVILLE",
"state": "OH",
"postal_code": "437319568",
"telephone_number": "740-589-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 STATE ROUTE 13 SE",
"city": "CROOKSVILLE",
"state": "OH",
"postal_code": "437319568",
"telephone_number": "740-589-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "CLARENCE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "LPCC-S, LICDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-15",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1700102-SUPV",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "161037",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crooksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.