Dana Renee Chambers, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

9112 Issued in NC

Practice address

311 Judges Rd
Unit E
Wilmington, NC 28405-3651

Phone

(910) 792-9888

Fax

(910) 792-9883

NPI assigned

Feb 10, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridge Builders Counseling PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Wilmington, NC
  • NPI 1366080921
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1083987705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 JUDGES RD",
            "address_2": "UNIT E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053651",
            "telephone_number": "910-792-9888",
            "fax_number": "910-792-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 JUDGES RD",
            "address_2": "UNIT E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053651",
            "telephone_number": "910-792-9888",
            "fax_number": "910-792-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "DANA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "9112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104952",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Cole Chalk, CRNA
• Kristen Brooke Merritt Chalk, MD
• Nicole Elizabeth Chalmers, PTA
• Elise Chamberlin, RD
• Carly Chambers
• Shelley Elizabeth Chambers, MSW LCSW
• Dailyn Chamnin, MSN, RN
• William Rataphon Chamnin, PA-C
• Charlene Maria Chan, RD
• David Justin Chandler, PTA

• Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.