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DEDRA NICHELE CHAVIS
NPI 1376048462
Counselor - Mental Health in Fuquay Varina, NC

Active since March 29, 2018PECOS Enrolled
3024 WHITE RAIL DR, FUQUAY VARINA, NC 27526(970) 400-1829 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 28, 2026, Mar 10, 2026, Jun 28, 2018 and 1 more (4 updates tracked since 2018).

About Dedra Nichele Chavis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEDRA NICHELE CHAVIS (NPI 1376048462) is an individual mental health provider in Fuquay Varina, North Carolina, licensed in Colorado (0015151) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1376048462
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEDRA NICHELE CHAVIS
Location Address3024 WHITE RAIL DRFuquay Varina, NC 27526-3695
Mailing Address3024 White Rail DrFuquay Varina, NC 27526-3695 · (970) 400-1829
Phone(970) 400-1829
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 29, 2018
Last NPPES UpdateMay 28, 20264 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1376048462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in CO · 0015151✔ Licensed in NC · 21574
3024 WHITE RAIL DR, Fuquay Varina, NC 27526
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Other Identifiers 1

Medicaid611458290CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dedra Nichele Chavis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385115401
PECOS Enrollment IDI20260609002317
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dedra Chavis's NPI number?

The NPI number for Dedra Chavis is 1376048462. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Dedra Chavis located?

Dedra Chavis practices at 3024 White Rail Dr, Fuquay Varina, NC 27526. The listed phone number is (970) 400-1829.

What is Dedra Chavis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Dedra Chavis enrolled in Medicare?

Yes. Dedra Chavis is registered in the Medicare PECOS enrollment system.

What insurance does Dedra Chavis accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of NC and UnitedHealthcare list Dedra Chavis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dedra Chavis was last updated on May 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.