1841498557 NPI number — MS. CAROLYN JOAN CHIAPPETTA LCPC

Table of content: MS. CAROLYN JOAN CHIAPPETTA LCPC (NPI 1841498557)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841498557 NPI number — MS. CAROLYN JOAN CHIAPPETTA LCPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHIAPPETTA
Provider First Name:
CAROLYN
Provider Middle Name:
JOAN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841498557
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/09/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
45 DARREN LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DILLON
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59725-8810
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-683-6574
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
225 E REEDER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DILLON
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59725-2784
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-683-4311
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  1017 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1841498557 . This is a "101YM0800X COUNSELOR MENTAL HEALTH LCPC-1017" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".




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