Individual provider Active NPI

Michelle R Chasen, MA, LCMHCA, NCC

  • Mental Health Counselor
  • Chapel Hill, NC
National Provider Identifier
1093436586
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A17921 Issued in NC
Practice address
50101 Governors Drive
Chapel Hill, NC 27517-4430
Phone
(984) 484-3225
NPI assigned
Sep 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A17921 NC Primary

Addresses

Primary practice location

50101 Governors Drive
Chapel Hill, NC 27517-4430

Mailing address

50101 Governors Drive
Chapel Hill, NC 27517-4430
Phone (984) 484-3225

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 Arts

State licenses

LicenseStateTypeSpecialty
A17921NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gracefully Redefined Counseling and Wellness CurrentSince Apr 27, 2025 Accepting new patients

Locations

50101 Governors Dr
Chapel Hill, NC 27517
Phone (919) 589-4523

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1093436586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50101 GOVERNORS DRIVE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275174430",
            "telephone_number": "984-484-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50101 GOVERNORS DRIVE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275174430",
            "telephone_number": "984-484-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASEN",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "MA, LCMHCA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.