Active NPI
Chadwick Counseling, PLLC
- Adult Mental Health Clinic/Center
- Pine Knoll Shores, NC
National Provider Identifier
1609473230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- CHADWICK COUNSELING, PLLC
- Practice address
- 320 Salter Path Rd Ste F
Pine Knoll Shores, NC 28512-6136 - Phone
- (336) 703-7706
- NPI assigned
- Oct 6, 2020
- Last updated
- Feb 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Hunter Chadwick III, MS, LCMHC-S, LCAS
- Title
- Owner, Managing Member
- Phone
- (252) 732-8096
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
320 Salter Path Rd Ste F
Pine Knoll Shores, NC 28512-6136
Mailing address
105 Chelsea Cir
Beaufort, NC 28516-9001
Phone (252) 732-8096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
320 Salter Path Rd
Ste F
Pine Knoll Shores, NC 28512
Phone (336) 703-7706
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Pine Knoll Shores, NC
- NPI 1528473923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738368000000",
"number": "1609473230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CHELSEA CIR",
"city": "BEAUFORT",
"state": "NC",
"postal_code": "285169001",
"telephone_number": "252-732-8096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SALTER PATH RD STE F",
"city": "PINE KNOLL SHORES",
"state": "NC",
"postal_code": "285126136",
"telephone_number": "336-703-7706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHADWICK COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-06",
"last_updated": "2025-02-01",
"certification_date": "2025-02-01",
"status": "A",
"authorized_official_last_name": "CHADWICK",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "HUNTER",
"authorized_official_title_or_position": "OWNER, MANAGING MEMBER",
"authorized_official_telephone_number": "252-732-8096",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MS, LCMHC-S, LCAS"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Knoll Shores, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.