Provider Demographics
NPI:1013493139
Name:CAPPER, CHELSEA JO (MS, ATR, LMHC)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:JO
Last Name:CAPPER
Suffix:
Gender:F
Credentials:MS, ATR, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2973 100TH ST STE 9
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-5517
Mailing Address - Country:US
Mailing Address - Phone:515-612-8238
Mailing Address - Fax:
Practice Address - Street 1:2973 100TH ST STE 9
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-5517
Practice Address - Country:US
Practice Address - Phone:515-612-8238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-11
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA088301101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty