Charkela Jenea Gaston Molden, ED.S., LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009996 Issued in GA

Practice address

100 University Pkwy
Macon, GA 31206-5145

Phone

(478) 471-2985

Fax

(478) 471-5730

NPI assigned

Nov 15, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Charkela Jenea Gaston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1043752587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UNIVERSITY PKWY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312065145",
            "telephone_number": "478-471-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UNIVERSITY PKWY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312065145",
            "telephone_number": "478-471-2985",
            "fax_number": "478-471-5730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Northside Xing",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312102252",
            "country_code": "US",
            "telephone_number": "478-225-9386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLDEN",
        "first_name": "CHARKELA",
        "middle_name": "JENEA GASTON",
        "name_prefix": "Mrs.",
        "credential": "ED.S., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC005189",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARKELA",
            "last_name": "GASTON",
            "middle_name": "JENEA",
            "prefix": "MS.",
            "credential": "ED.S., LPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elisa Pratima Mohan, MD
• Palghat V Mohan, M.D
• Brandy Mohn, LCSW
• Khuzema Mohsin, MD
• Hillary Lee Moinipour, NP-C
• Mole'T Health and Wellness, PC
• Mariela Minerva Molero, M.D., PH.D.
• Tamiko Molet-Caldwell, DNP, FNP-C
• Mom-Ykk Clinic
• Nicholas Monaco, M.D.

• Professional Counselor in Macon, GA
• Providers in Macon, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.