Individual provider Active NPI

Clarence E Chapman, LPCC-S, LICDC

  • Professional Counselor
  • Crooksville, OH
National Provider Identifier
1881044394
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1700102-SUPV Issued in OH
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

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251106000718 OH Practitioner - Mental Health Counselor 8224528484 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
161037OHMDAddiction (Substance Use Disorder) Counselor
E.1700102-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Group Home, LLC CurrentSince Oct 24, 2025 Accepting new patients
Phoenix Group Home, LLC CurrentSince Oct 24, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.