Individual provider Active NPI

Amy Lynn Chapmond

  • Addiction (Substance Use Disorder) Counselor
  • Tyler, TX
National Provider Identifier
1982256665
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
14859 Issued in TX
Practice address
114 Jordan Plaza Blvd Ste 302306
Tyler, TX 75704-2056
Phone
(903) 581-9472
Fax
(903) 581-9481
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14859 TX Primary

Addresses

Primary practice location

114 Jordan Plaza Blvd Ste 302306
Tyler, TX 75704-2056

Mailing address

114 Jordan Plaza Blvd Ste 302306
Tyler, TX 75704-2056
Phone (903) 581-9472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1982256665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 JORDAN PLAZA BLVD STE 302306",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757042056",
            "telephone_number": "903-581-9472",
            "fax_number": "903-581-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 JORDAN PLAZA BLVD STE 302306",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757042056",
            "telephone_number": "903-581-9472",
            "fax_number": "903-581-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMOND",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.