Individual provider Active NPI

Chancey Stalnaker

  • Mental Health Counselor
  • Gastonia, NC
National Provider Identifier
1841872140
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A16278 Issued in NC
Practice address
1528 Union Rd
Gastonia, NC 28054-2200
Phone
(704) 864-1477
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A16278 NC Primary

Addresses

Primary practice location

1528 Union Rd
Gastonia, NC 28054-2200

Mailing address

1528 Union Rd
Gastonia, NC 28054-2200
Phone (704) 864-1477

Other practice location 1

1940 3rd Avenue Ln SE
Hickory, NC 28602-2959
Phone (828) 758-1320

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
I20240403001690 NC Practitioner - Mental Health Counselor 8527406032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

617 S Green St
Suite 300
Morganton, NC 28655-3693
Phone (828) 758-1320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A16278NCMDMental Health Counselor
16278NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Therapeutic Services, Inc Mental Health CurrentSince Jan 20, 2024 Accepting new patients
Carolina Therapeutic Services, Inc Mental Health CurrentSince Jan 20, 2024 Accepting new patients

Locations

1528 Union Rd
Gastonia, NC 28054
Phone (828) 758-1320

1528 Union Rd
Ste B
Gastonia, NC 28054
Phone (828) 758-1320

1781 Tate Blvd SE
Ste 202
Hickory, NC 28602
Phone (828) 328-4398

1940 3rd Avenue Ln SE
Hickory, NC 28602
Phone (828) 464-5868

617 S Green St
Ste 300
Morganton, NC 28655
Phone (828) 433-8181

Interoperability endpoints

  • Direct secure messaging: cstalnaker@ctshealth.medentdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1841872140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 UNION RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542200",
            "telephone_number": "704-864-1477",
            "fax_number": "704-396-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 UNION RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542200",
            "telephone_number": "704-864-1477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 3rd Avenue Ln SE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286022959",
            "country_code": "US",
            "telephone_number": "828-758-1320",
            "fax_number": "704-396-7524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALNAKER",
        "first_name": "CHANCEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.