Individual provider Active NPI

Noelle Chappelle Zamudio

  • Marriage & Family Therapist
  • Beachwood, OH
National Provider Identifier
1992172290
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F1600024 Issued in OH
Practice address
24100 Chagrin Blvd Ste 370
Beachwood, OH 44122-5535
Phone
(216) 714-3278
NPI assigned
Aug 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 C.1100321-CR OH
Marriage & Family Therapist 106H00000X F1600024 OH Primary

Addresses

Primary practice location

24100 Chagrin Blvd Ste 370
Beachwood, OH 44122-5535

Mailing address

6603 Tamarind Dr
Bedford Heights, OH 44146-4842
Phone (216) 714-3278

Other names 1

  • Noelle Chappelle Professional name

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
I20241120000399 OH Practitioner - Marriage and Family Therapist 2668907288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C.1100321-CROHMDProfessional Counselor
F1600024OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Counseling, LTD. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992172290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 TAMARIND DR",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441464842",
            "telephone_number": "216-714-3278",
            "fax_number": "800-879-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 CHAGRIN BLVD STE 370",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225535",
            "telephone_number": "216-714-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMUDIO",
        "first_name": "NOELLE",
        "middle_name": "CHAPPELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1100321-CR",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F1600024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOELLE",
            "last_name": "CHAPPELLE",
            "credential": "LIMFT, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.