BRIDGET RENEE CHANDLER
NPI 1609501782
Counselor - Mental Health in Fayetteville, NC
About Bridget Renee Chandler NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIDGET RENEE CHANDLER (NPI 1609501782) is an individual mental health provider in Fayetteville, North Carolina, licensed in North Carolina (A17538) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fayetteville, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bridget Renee Chandler is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, NC 28303
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 Bridget Chandler's NPI number?
The NPI number for Bridget Chandler is 1609501782. It was assigned to this individual provider in the NPPES registry on July 21, 2022.
Where is Bridget Chandler located?
Bridget Chandler practices at 351 Wagoner Dr Ste 175, Fayetteville, NC 28303. The listed phone number is (919) 790-8580.
What is Bridget Chandler's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Bridget Chandler enrolled in Medicare?
Yes. Bridget Chandler is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Bridget Chandler was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bridget Renee Chandler · NPI 1609501782
Mental Health provider in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since July 21, 2022.
## Identity
- **NPI:** 1609501782 (Entity type: Individual)
- **Enumerated:** July 21, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** A17538 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 351 WAGONER DR STE 175, Fayetteville, NC 28303-4860
- **Phone:** (919) 790-8580
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1609501782) · Data from the CMS NPPES public registry.