Active NPI
Henry Chase V, LCMHCA
- Mental Health Counselor
- Huntersville, NC
National Provider Identifier
1174400949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A21763
- Practice address
- 9541 Julian Clark Ave Ste 110
Huntersville, NC 28078-3485 - Phone
- (704) 659-3817
- Fax
- (704) 288-1556
- NPI assigned
- Aug 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A21763 | NC | Primary |
Addresses
Primary practice location
9541 Julian Clark Ave Ste 110
Huntersville, NC 28078-3485
Mailing address
171 Spring St NW
Concord, NC 28025-4711
Phone (207) 270-1388
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A21763 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1174400949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 SPRING ST NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280254711",
"telephone_number": "207-270-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9541 JULIAN CLARK AVE STE 110",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280783485",
"telephone_number": "704-659-3817",
"fax_number": "704-288-1556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "HENRY",
"name_suffix": "V",
"credential": "LCMHCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-21",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A21763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
- Charlotte Obstetric and Gynecological Associates
- Charlotte Ophthalmology Clinic P.a.
- Charlotte Ophthalmology Clinic P.a.
- Charlotte Senior Care, LLC
- Charlotte-Mecklenburg Hospital Authority
- Alexander Walter Chasnis, MD
- Chatterbox Speech Therapy Services, PLLC
- Heather Ann-Marie Chavis, LCSW
- Craig Thomas Morgan Chepke, M.D.
- Garrison Pearce Cherry, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.