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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: October 18, 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 and is a graduate of Other (2024).

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
Medical School CMSOtherGraduated 2024
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
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Other Names 1

Other Name (5)Chad Dale

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6305303314
PECOS Enrollment IDI20260810003636
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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Dale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nystrom & Associates Counseling Wi., S.C.
176 mi
Mental Health (Including Community Mental Health Center)
201 MAIN ST STE 500
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Nystrom & Associates Counseling Wi Sc
  • 133 clinicians in this Medicare group
NPI 1659977866 (651) 379-1750

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Charles Dale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Dale reassigns Medicare benefits to Nystrom & Associates Counseling Wi., S.C. (La Crosse, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Dale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Dale accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners and UnitedHealthcare list Charles Dale 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 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 2 months 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.