Active NPI
Amy Lynn Chapmond
- Addiction (Substance Use Disorder) Counselor
- Tyler, TX
National Provider Identifier
1982256665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14859
- 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
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 |
|---|---|---|---|---|
| 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.