DR. CHARLES RICHARD CHAMBLEE JR. D.MIN; M.DIV; L.A.C.
NPI 1285979609
Counselor - Professional in Little Rock, AR
NPI Status: Active since December 11, 2012
Contact Information
11321 INTERSTATE 30
SUITE 304
LITTLE ROCK, AR
ZIP 72209
Phone: (501) 202-7587
Fax: (501) 202-7513
- Individual
- Male
- Years of Experience 15
- Counselor
- Professional
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About CHARLES CHAMBLEE
This page provides the complete NPI Profile along with additional information for Charles Chamblee, a provider established in Little Rock, Arkansas with a medical specialization in Counselor, focusing in professional and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1285979609 assigned on December 2012. The practitioner's primary taxonomy code is 101YP2500X with license number A1203022 (AR). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1285979609
- Provider Name
- DR. CHARLES RICHARD CHAMBLEE JR. D.MIN; M.DIV; L.A.C.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11321 INTERSTATE 30 SUITE 304 LITTLE ROCK, AR 72209
- Location Phone
- (501) 202-7587
- Location Fax
- (501) 202-7513
- Mailing Address
- 11001 EXECUTIVE CENTER DR STE 200 LITTLE ROCK, AR 72211
- Mailing Phone
- (501) 202-7587
- Mailing Fax
- (501) 202-7513
- Medical School Name
- OTHER
- Graduation Year
- 2011
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-11-2012
- Last Update Date
- 02-01-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- A1203022
- License State
- AR
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Exp Standardized - PPO
- Bronze Value - PPO
- Gold Standardized - PPO
- Silver AH - PPO
- Silver Standardized - PPO
- Silver Value - PPO
- Dental Gold - PPO
- Dental Gold Plus Vision - PPO
- Dental Pediatric - PPO
- Dental Platinum - PPO
- Dental Platinum Plus Vision - PPO
- Dental Platinum Premium - PPO
- Dental Platinum Premium Plus Vision - PPO
- Dental Silver - PPO
- HA Bronze Exp Standardized - POS
- HA Bronze Suitcase - POS
- HA Gold Standardized - POS
- HA Silver AH - POS
- HA Silver Premier Suitcase - POS
- HA Silver Standardized - POS
- Octave Bronze Exp Standardized - POS
- Octave Bronze Value - POS
- Octave Gold Standardized - POS
- Octave Silver AH - POS
- Octave Silver Classic Suitcase - POS
- Octave Silver Standardized - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Charles Chamblee is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Charles Chamblee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 345685723
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240226000105
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DR. CHARLES RICHARD CHAMBLEE JR. D.MIN; M.DIV; L.A.C.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 8 | 5 | 9 | 7 | 9 | 6 | 0 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 16 | 5 | 18 | 7 | 18 | 6 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 6 + 5 + 1 + 8 + 7 + 1 + 8 + 6 + 0 + 24 = 71 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 71 = 9 | 9 |
The NPI number 1285979609 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1548265572 | DR. AHMED T ABDELAL M.D. Individual | Internal Medicine | 11321 INTERSTATE 30 STE 308 LITTLE ROCK, AR 72209 (501) 455-7021 |
1619974599 | DR. CHRISTOPHER LEIGH JOHN MD Individual | Internal Medicine (Critical Care Medicine) | 11321 INTERSTATE 30 STE 306 LITTLE ROCK, AR 72209 (501) 407-0200 |
1336122340 | OTTER CREEK FAMILY CLINIC PLLC Organization | Internal Medicine | 11321 INTERSTATE 30 STE 101 LITTLE ROCK, AR 72209 (501) 455-1331 |
1831161215 | KATHREEN D THESSING RNP Individual | Nurse Practitioner | 11321 INTERSTATE 30 SUITE 201 LITTLE ROCK, AR 72209 (501) 455-4700 |
1053348870 | DR. STEPHEN SNYDER MD Individual | Internal Medicine | 11321 INTERSTATE 30 SUITE 101 LITTLE ROCK, AR 72209 (501) 455-1331 |
1184765315 | KONDO ENTERPRISES CORP Organization | Pharmacist | 11321 INTERSTATE 30 SUITE 102 LITTLE ROCK, AR 72209 (501) 353-2136 |
1356537666 | J. MICHAEL CARNEY, MD, PLLC Organization | Dermatology | 11321 INTERSTATE 30 SUITE 201 LITTLE ROCK, AR 72209 (501) 455-4700 |
1841472149 | CHRISTOPHER L. JOHN Organization | Specialist | 11321 INTERSTATE 30 SUITE 306 LITTLE ROCK, AR 72209 (501) 407-0200 |
1063694677 | JEREMY DAVIS MHPP Individual | Case Manager/Care Coordinator | 11321 INTERSTATE 30 SUITE 104 LITTLE ROCK, AR 72209 (501) 315-3344 |
1265767271 | MR. JAY CHARLES STAKE MHPP Individual | Case Manager/Care Coordinator | 11321 INTERSTATE 30 LITTLE ROCK, AR 72209 (501) 202-7587 |
1720313737 | MR. BOYD CLINTON GOODNER MHPP Individual | Case Manager/Care Coordinator | 11321 INTERSTATE 30 LITTLE ROCK, AR 72209 (501) 202-7587 |
1780919787 | MR. COLBY AARON LADD MHPP Individual | Case Manager/Care Coordinator | 11321 INTERSTATE 30 LITTLE ROCK, AR 72209 (501) 202-7587 |
1952695843 | ERIK TYLER JERNIGAN Individual | Case Manager/Care Coordinator | 11321 INTERSTATE 30 SUITE 104 LITTLE ROCK, AR 72209 (501) 202-7587 |
1306131552 | SHANNON BROOKE EARLEY Individual | Case Manager/Care Coordinator | 11321 INTERSTATE 30 SUITE 104 LITTLE ROCK, AR 72209 (501) 202-7587 |
1295020303 | ASHLEY NICOLE BALL Individual | Case Manager/Care Coordinator | 11321 INTERSTATE 30 SUITE 104 LITTLE ROCK, AR 72209 (501) 202-7587 |
1538455589 | GLORIA STEVENS MHPP Individual | Case Manager/Care Coordinator | 11321 INTERSTATE 30 SUITE 104 LITTLE ROCK, AR 72209 (501) 202-7587 |
1235426016 | REBECCA MCCUTCHEON MHPP Individual | Case Manager/Care Coordinator | 11321 INTERSTATE 30 SUITE 104 LITTLE ROCK, AR 72209 (501) 202-7587 |
1053609925 | TONYA LEIGH SCRIMSHIRE MHPP Individual | Case Manager/Care Coordinator | 11321 INTERSTATE 30 SUITE 104 LITTLE ROCK, AR 72209 (501) 202-7587 |
1700931755 | DR. MEENAKSHI BUDHRAJA MD Individual | Internal Medicine (Gastroenterology) | 11321 INTERSTATE 30 SUITE 100 LITTLE ROCK, AR 72209 (501) 407-2036 |
1780076380 | DIGESTIVE WELLNESS CLINIC, PLLC Organization | Internal Medicine (Gastroenterology) | 11321 INTERSTATE 30 STE. 100 LITTLE ROCK, AR 72209 (501) 407-2036 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285979609, enumerated in the NPI registry as an "individual" on December 11, 2012
The provider is located at 11321 Interstate 30 Suite 304 Little Rock, Ar 72209 and the phone number is (501) 202-7587
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider has more than 15 years of experience.
The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on December 11, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.