Active NPI
Chadwick Weldon Royal, PHD, LCMHCS
- Professional Counselor
- Mebane, NC
National Provider Identifier
1902008535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3419
- Practice address
- 105 E Center St Ofc B-6
Mebane, NC 27302-2420 - Phone
- (336) 684-0697
- NPI assigned
- Jun 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3419S | NC | |
| Professional Counselor | 101YP2500X | 3419 | NC | Primary |
Addresses
Primary practice location
105 E Center St Ofc B-6
Mebane, NC 27302-2420
Mailing address
105 E Center St Ofc B-6
Mebane, NC 27302-2420
Phone (336) 684-0697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3419 | Other | NC | NC COUNSELING LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3419S | NC | MD | Mental Health Counselor |
| 3419 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1902008535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 E CENTER ST OFC B-6",
"city": "MEBANE",
"state": "NC",
"postal_code": "273022420",
"telephone_number": "336-684-0697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 E CENTER ST OFC B-6",
"city": "MEBANE",
"state": "NC",
"postal_code": "273022420",
"telephone_number": "336-684-0697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYAL",
"first_name": "CHADWICK",
"middle_name": "WELDON",
"name_prefix": "Dr.",
"credential": "PHD, LCMHCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "3419S",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC COUNSELING LICENSE",
"identifier": "3419",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mebane, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.