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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHARLES L DALE III LPC
NPI 1831775162
Counselor - Professional in Greenfield, WI

Active since March 18, 2021PECOS Enrolled
4131 W LOOMIS RD APT 120, GREENFIELD, WI 53221(414) 424-2445(414) 424-2446 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2026, Mar 18, 2021 (2 updates tracked since 2021).

About Charles L Dale Iii Lpc NPPES

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

CHARLES L DALE III LPC (NPI 1831775162) is an individual professional provider in Greenfield, Wisconsin, licensed in Wisconsin (12719) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831775162
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHARLES L DALE IIICredential: LPC
Location Address4131 W LOOMIS RD APT 120Greenfield, WI 53221-2006
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Phone(414) 424-2445
Fax(414) 424-2446
Sole ProprietorNo
Enumeration DateMarch 18, 2021
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1831775162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 12719
4131 W LOOMIS RD APT 120, Greenfield, WI 53221
Open in Google Maps ↗

Other Names 1

Other Name (5)Chad Dale

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles L Dale Iii Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY S ROHLEDER
Counselor (Mental Health)
4131 W LOOMIS RD APT 120
GREENFIELD, WI 53221
Milwaukee County (414) 424-2445
AMANDA MARIE DEREWICZ LCSW
Social Worker (Clinical)
4131 W LOOMIS RD APT 120
GREENFIELD, WI 53221
Milwaukee County (414) 424-2445
AURORA MALA LPC
Counselor (Professional)
4131 W LOOMIS RD APT 120
GREENFIELD, WI 53221
Milwaukee County (414) 424-2445
SAMANTHA LYNN KLOCKOW PSYD, LP
Psychologist (Clinical)
4131 W LOOMIS RD APT 120
GREENFIELD, WI 53221
Milwaukee County (414) 424-2445
PATRICIA M MENDOZA APSW
Social Worker (Clinical)
4131 W LOOMIS RD APT 120
GREENFIELD, WI 53221
Milwaukee County (414) 424-2445

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 Charles Dale's NPI number?

The NPI number for Charles Dale is 1831775162. It was assigned to this individual provider in the NPPES registry on March 18, 2021. The provider is also known as Chad Dale.

Where is Charles Dale located?

Charles Dale practices at 4131 W Loomis Rd Apt 120, Greenfield, WI 53221. The listed phone number is (414) 424-2445.

What is Charles Dale's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Charles Dale enrolled in Medicare?

Yes. Charles Dale is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Dale was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.