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CHAPIN NICOLE MEIBOHM-GRAY MA, LPC
NPI 1134855802
Counselor - Mental Health in Lafayette, CO

Active since July 26, 2022PECOS Enrolled
1455 DIXON AVE, LAFAYETTE, CO 80026(303) 443-8500 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2026, Jan 2, 2025, Dec 26, 2024 and 1 more (4 updates tracked since 2022).

About Chapin Nicole Meibohm-gray Ma, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAPIN NICOLE MEIBOHM-GRAY MA, LPC (NPI 1134855802) is an individual mental health provider in Lafayette, Colorado, licensed in Colorado (LPC.0023534) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1134855802
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHAPIN NICOLE MEIBOHM-GRAYCredential: MA, LPC
Location Address1455 DIXON AVELafayette, CO 80026-8879
Mailing Address1455 Dixon AveLafayette, CO 80026-8879 · (303) 443-8500
Phone(303) 443-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 26, 2022
Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1134855802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · LPC.0023534
1455 DIXON AVE, Lafayette, CO 80026
Open in Google Maps ↗

Other Names 1

Former Name (1)Chapin Nicole Gray Ma, Lpcc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chapin Nicole Meibohm-gray Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517427297
PECOS Enrollment IDI20260901004464
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Chapin Meibohm-gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinica Campesina Family Health Services
0.1 mi
Mental Health (Including Community Mental Health Center)
1455 DIXON AVE
Lafayette, CO 80026
  • Reassigned Medicare billing, Colorado enrollment
  • 183 clinicians in this Medicare group
NPI 1184460321 (303) 443-8500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOFIA MCILROY
Student in an Organized Health Care Education/Training Program
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500
LAURA GRACE-COLE SPICER MSW, CACII
Social Worker
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 358-9371
KARLIE MICHELLE ESWORTHY
Counselor (Professional)
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500
WILLIAM GAUB
Counselor (Mental Health)
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500
MOLLIE E SHIN
Counselor (Mental Health)
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (713) 384-8421
CHRISTINE JONES LCSW
Social Worker (Clinical)
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (315) 317-3795
DANA MARIE GUTIERREZ
Counselor (Mental Health)
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500
CHLOE WEBER
Student in an Organized Health Care Education/Training Program
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chapin Meibohm-gray's NPI number?

The NPI number for Chapin Meibohm-gray is 1134855802. It was assigned to this individual provider in the NPPES registry on July 26, 2022. The provider is also known as Chapin Nicole Gray Ma, Lpcc.

Where is Chapin Meibohm-gray located?

Chapin Meibohm-gray practices at 1455 Dixon Ave, Lafayette, CO 80026. The listed phone number is (303) 443-8500.

What is Chapin Meibohm-gray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Chapin Meibohm-gray enrolled in Medicare?

Yes. Chapin Meibohm-gray is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chapin Meibohm-gray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chapin Meibohm-gray reassigns Medicare benefits to Clinica Campesina Family Health Services (Lafayette, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chapin Meibohm-gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chapin Meibohm-gray was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.