Deahdra Chambers, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11074 Issued in NC

Practice address

104 W Main St
Biscoe, NC 27209-9812

Phone

(910) 975-5127

NPI assigned

Dec 1, 2014

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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

• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482

  TX

  Medicare reassignment Care Compare group NPD
• Purposed by Design, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Biscoe, NC
  • NPI 1023640638
  NPD Authorized official

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1124425566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "CANDOR",
            "state": "NC",
            "postal_code": "272290294",
            "telephone_number": "910-975-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MAIN ST",
            "city": "BISCOE",
            "state": "NC",
            "postal_code": "272099812",
            "telephone_number": "910-975-5127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Pat Booker Rd Trlr 39",
            "address_purpose": "LOCATION",
            "city": "Universal City",
            "state": "TX",
            "postal_code": "781482740",
            "country_code": "US",
            "telephone_number": "910-975-5127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "DEAHDRA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Briggs, DDS
• Jasmine Broadway
• Rachel Saunders Bruce, PHARMD
• David Nelson Buckland, PA-C
• Carolina Quickcare Family Practice, PLLC (Carolina QuickCare Family Practice)
• Karen Chavis Clark, RPH
• Pushp Kumar Claudius, MD
• Chris Randolph Cockrell, DDS
• Laderria De Freitas
• Johnda Reynolds Farlow, PHARMD

• Professional Counselor in Biscoe, NC
• Providers in Biscoe, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.