MICHAEL CHIPPOLLA LCSW ACADC LLC
NPI 1376489427
Counselor - Mental Health in Boise, ID
About Michael Chippolla Lcsw Acadc Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL CHIPPOLLA LCSW ACADC LLC (NPI 1376489427) is a healthcare organization registered as a mental health in Boise, Idaho and active in the NPI registry since April 2026. The organization lists Michael Chippolla, Owner- Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael Chippolla Lcsw Acadc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael Chippolla Lcsw Acadc LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Michael Chippolla Lcsw Acadc LLC's NPI number?
The NPI number for Michael Chippolla Lcsw Acadc LLC is 1376489427. It was assigned to this organization in the NPPES registry on April 28, 2026.
Where is Michael Chippolla Lcsw Acadc LLC located?
Michael Chippolla Lcsw Acadc LLC is located at 4836 W Targee St, Boise, ID 83705. The listed phone number is (208) 713-5250.
What is Michael Chippolla Lcsw Acadc LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Michael Chippolla Lcsw Acadc LLC enrolled in Medicare?
Yes. Michael Chippolla Lcsw Acadc LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Michael Chippolla Lcsw Acadc LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Michael Chippolla Lcsw Acadc LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Michael Chippolla Lcsw Acadc LLC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Michael Chippolla Lcsw Acadc Llc · NPI 1376489427
Mental Health organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since April 28, 2026.
## Identity
- **NPI:** 1376489427 (Entity type: Organization)
- **Enumerated:** April 28, 2026
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Michael Chippolla, OWNER- CLINICAL DIRECTOR
## Practice location
- **Address:** 4836 W TARGEE ST, Boise, ID 83705-3655
- **Phone:** (208) 713-5250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376489427) · Data from the CMS NPPES public registry.