Individual provider Active NPI

Chelsey Mae Lee, LCMHC

  • Professional Counselor
  • Supply, NC
National Provider Identifier
1316722739
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17540 Issued in NC
Practice address
6 Doctors Cir Ste 1
Supply, NC 28462-6358
Phone
(910) 754-4238
NPI assigned
Aug 25, 2023
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 17540 NC
Professional Counselor 101YP2500X 17540 NC Primary

Addresses

Primary practice location

6 Doctors Cir Ste 1
Supply, NC 28462-6358

Mailing address

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 343-0145

Other practice location 1

120 Coastal Horizons Dr
Shallotte, NC 28470-6094
Phone (910) 754-4515

Other practice location 2

409 S Oakland St
Gastonia, NC 28052-4312
Phone (704) 874-9005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20241024003857 NC Practitioner - Mental Health Counselor 2860925161 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17540NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc. CurrentSince Jun 29, 2024 Accepting new patients
Gaston Family Health Services, Inc CurrentSince Jun 29, 2024 Accepting new patients
Gaston Family Health Services, Inc. PastSince Jul 3, 2022 Accepting new patients
Gaston Family Health Services, Inc. PastSince Jul 17, 2021 Accepting new patients

Locations

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

3050 Riverwood Pkwy
Ste B
Gastonia, NC 28056
Phone (704) 865-1749

409 S Oakland St
Gastonia, NC 28052

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

1211 Salisbury Rd
Mocksville, NC 27028
Phone (336) 753-0888

477 Pinebrook School Rd
Mocksville, NC 27028
Phone (336) 998-3868

Interoperability endpoints

  • Direct secure messaging: clee664682@direct.ochin.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1316722739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126431",
            "telephone_number": "910-343-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DOCTORS CIR STE 1",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284626358",
            "telephone_number": "910-754-4238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Coastal Horizons Dr",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284706094",
            "country_code": "US",
            "telephone_number": "910-754-4515",
            "fax_number": "910-754-4515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 S Oakland St",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280524312",
            "country_code": "US",
            "telephone_number": "704-874-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHELSEY",
        "middle_name": "MAE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17540",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "17540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

Verify at the official NPI Registry.