Provider Demographics
NPI:1194867689
Name:CHAPA, ABEL M (MED, LPCC)
Entity Type:Individual
Prefix:MR
First Name:ABEL
Middle Name:M
Last Name:CHAPA
Suffix:
Gender:M
Credentials:MED, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 KEMPER ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79416-3527
Mailing Address - Country:US
Mailing Address - Phone:719-491-5874
Mailing Address - Fax:888-719-5863
Practice Address - Street 1:5501 KEMPER ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79416-3527
Practice Address - Country:US
Practice Address - Phone:719-491-5874
Practice Address - Fax:888-719-5863
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15632101YP2500X
NM0141561101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX028-416-802Medicaid