Organization Active NPI

Chadwick Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • Pine Knoll Shores, NC
National Provider Identifier
1609473230
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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, LCASNPI 1528473923
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20240314002631 NC Part B Supplier - Clinic/Group Practice 9436595279 Receives reassigned benefits from 1 practitioner
Practice locations: Morehead City, NC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.