Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles Richard Chamblee Jr., DMIN, MDIV, LAC

Individual provider Professional Counselor · NPI 1285979609

Dr. Charles Richard Chamblee Jr., DMIN, MDIV, LAC is a Mental Health Counselor in Little Rock, Arkansas. Qualified in 2011, 15 years ago. Practices with Arkansas Health Group, a 645-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
15
Licensed in
AR
In the registry since
2012
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11321 Interstate 30 Ste 304
Little Rock, AR 72209-7067
Phone: (501) 202-7587
Fax: (501) 202-7513
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A1203022 (AR)

Record details

NPI number1285979609
Entity typeIndividual (Type 1)
GenderMale
Credentials DMIN , MDIV , LAC
Sole proprietorNo
NPI enumeratedDecember 11, 2012
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Arkansas Health Group — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Little Rock