Marcia Reanee Chavis, MBA, MA, LCASA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

27974 Issued in NC

Practice address

86 Three Hunts Dr
Pembroke, NC 28372-8998

Phone

(910) 374-9477

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Business Administration

State licenses

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1477276236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 MISSOURI RD",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283648097",
            "telephone_number": "910-374-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 THREE HUNTS DR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728998",
            "telephone_number": "910-374-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "MARCIA",
        "middle_name": "REANEE",
        "name_prefix": "Ms.",
        "credential": "MBA, MA, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "27974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mchavis@seintegratedcare.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "86 Three Hunts Dr",
            "city": "Pembroke",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283728998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chaparral Youth Services II
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• Angel Marie Chavis
• Brooke Leanne Chavis, PHARMD
• Katara S Chavis, FNP-C
• Children's Health of Carolina, PA (Children's Health Pembroke)
• Chiropractic Center of Pembroke
• Tara K Chisholm
• Chosen Care Services, Inc.
• Chosen Home Care Inc

• Addiction (Substance Use Disorder) Counselor in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.