Active NPI
Charles Matthew Jason Harger
- Mental Health Counselor
- Mesa, AZ
National Provider Identifier
1043784739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-23000
- Practice address
- 3707 E Southern Ave
Mesa, AZ 85206-2569 - Phone
- (623) 738-6737
- NPI assigned
- Jan 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Mental Health Counselor | 101YM0800X | LPC-23000 | AZ | Primary |
Addresses
Primary practice location
3707 E Southern Ave
Mesa, AZ 85206-2569
Mailing address
PO Box 653
Waddell, AZ 85355-0653
Phone (623) 738-6737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-23000 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717286400000",
"number": "1043784739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 653",
"city": "WADDELL",
"state": "AZ",
"postal_code": "853550653",
"telephone_number": "623-738-6737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 E SOUTHERN AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852062569",
"telephone_number": "623-738-6737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGER",
"first_name": "CHARLES",
"middle_name": "MATTHEW JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-15",
"last_updated": "2024-06-02",
"certification_date": "2024-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-23000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.