CARLY CHAPMAN (NPI# 1164066676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164066676 |
| Entity Type | Individual |
| Full Name | CARLY CHAPMAN |
| Credential | CT |
| Practice Address |
3094 W Market St Ste 105 Fairlawn OH 44333-3617 |
| Mailing Address |
434 Eastland Rd Berea OH 44017-1217 |
| Practice Telephone | 4402608300 |
| Mailing Telephone | 4402342006 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | C1902002-TRNE | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013393297 | Carly Chapman | Podiatrist | 1516 Calhoun St, Columbia, SC 29201 | 2015-08-10 |
| Street Address |
3094 W MARKET ST STE 105 |
| City | FAIRLAWN |
| State | OH |
| Zip Code | 44333-3617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407137946 | Nicole D West | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333 | 2011-08-29 |
| 1588262315 | Lauren Baker | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-10-14 |
| 1184231854 | Matthew C Neal | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-09-28 |
| 1871100909 | Candice Braham | Social Worker | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-09-23 |
| 1548874878 | Courtney Anne James | Social Worker | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-09-03 |
| 1013521582 | Katerina Heppe | Marriage & Family Therapist | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-09-02 |
| 1497388805 | Dolores Hammerling | Peer Specialist | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-02-14 |
| 1598315517 | Salvatore M Ruggeri | Social Worker | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2019-09-12 |
| 1134778889 | Alexa Russell | Case Management | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2019-09-05 |
| 1770130742 | Erin Conner | Social Worker | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2019-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
| 1619468105 | Yellow Creek Primary Care, Inc. | Family Medicine | 3453 Granger Rd, Akron, OH 44333 | 2018-05-21 |
| 1336655984 | Laura Ann Starkey | Nurse Practitioner | 3562 Ridge Park Dr # D1, Fairlawn, OH 44333 | 2017-12-19 |
| 1952814329 | Linda Long | Behavioral Analyst | 3428 W. Market Street, Fairlawn, OH 44333 | 2017-11-08 |
| 1366967325 | Heidi Harper | Behavioral Analyst | 373 Stratford Rd., Fairlawn, OH 44333 | 2017-08-10 |
| 1215459151 | Lisa Marie Kosley | Registered Nurse | 3250 West Market, Suite 2, Fairlawn, OH 44333 | 2017-07-12 |
| 1053764530 | Lindsey Foradis | Nurse Practitioner | 3600 W Market St Ste 200, Fairlawn, OH 44333 | 2016-07-19 |
| 1922484740 | Let's Talk Quality Services, Inc. | Day Training, Developmentally Disabled Services | 462 Gresham Drive, Fairlawn, OH 44333 | 2015-08-04 |
| 1770973240 | Amelia Evans | Licensed Practical Nurse | 3040 West Market St., Interim Healthcare, Akron, OH 44333 | 2015-02-04 |
| 1770908774 | Mary Catherine Boettcher | Speech-Language Pathologist | 150 N. Miller Rd., Suite # 150 A, Akron, OH 44333 | 2014-02-27 |
| Find all providers in zip 44333 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891269080 | Karen Putman | Counselor | 3094 W Market St Ste 501, Fairlawn, OH 44333-3626 | 2019-01-22 |
| 1588262315 | Lauren Baker | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-10-14 |
| 1184231854 | Matthew C Neal | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-09-28 |
| 1093329724 | Kristyn Lein | Counselor | 3094 W Market St, Fairlawn, OH 44333-3626 | 2020-09-01 |
| 1871051979 | Katelyn Beaton | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2019-03-07 |
| 1679052385 | Dana Grawe | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-08-13 |
| 1124510417 | Joseph Daniel White | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-06-01 |
| 1164914891 | Kylie Leicht | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-05-30 |
| 1558851691 | Maddison L Miles | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-05-15 |
| 1053809749 | Victoria Cooper | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-04-27 |
| Find all providers in FAIRLAWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.