Gary Cortland Chadwick, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2010027858

Practice address

10 S Euclid Ave Ste C
Saint Louis, MO 63108-3809

Phone

(617) 379-0496

NPI assigned

May 24, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  NPD

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1760701296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5761 S CLAY AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102911",
            "telephone_number": "816-284-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S EUCLID AVE STE C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083809",
            "telephone_number": "617-379-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "GARY",
        "middle_name": "CORTLAND",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "2010027858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760701296",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia Chacko, M.D.
• Lauren Elizabeth Chacon, LCSW
• Rajagopal V Chadaga, MD
• Chads Coalition for Mental Health
• Chadwick T Caudill MD PS
• Haley Elizabeth Chadwick, MSN, FNP-C
• Ricky Chae, MD
• Brandon Alexander Chaffay, MD
• Julia D.E. Chaffay, MD
• Chaganti and Associates PC

• All providers in Saint Louis, MO
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.