Active NPI
Chase D Rayfield, MS, CRC, LCHMC, LCAS
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1013209899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8475
- Practice address
- 10643 Kettering Dr
Ste 105
Charlotte, NC 28226 - Phone
- (980) 277-2875
- NPI assigned
- May 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21921 | NC | |
| Mental Health Counselor | 101YM0800X | 8475 | NC | Primary |
Addresses
Primary practice location
10643 Kettering Dr
Ste 105
Charlotte, NC 28226
Mailing address
PO Box 470392
Charlotte, NC 28247-0392
Phone (980) 277-2875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21921 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 8475 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1013209899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 470392",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282470392",
"telephone_number": "980-277-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10643 KETTERING DR",
"address_2": "STE 105",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28226",
"telephone_number": "980-277-2875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYFIELD",
"first_name": "CHASE",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "MS, CRC, LCHMC, LCAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-11",
"last_updated": "2024-11-07",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "21921",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.