Sam Charters, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61163983 Issued in WA

Practice address

555 Dayton St
Edmonds, WA 98020-3601

Phone

(503) 610-3598

NPI assigned

Jan 28, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1053124610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 RUSSET RD",
            "city": "BRIER",
            "state": "WA",
            "postal_code": "980368027",
            "telephone_number": "503-610-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 DAYTON ST",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203601",
            "telephone_number": "503-610-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARTERS",
        "first_name": "SAM",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61163983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry S Chang, MD
• Ming-Jei Chang, MD
• Ssu-Yu Chang, SP
• Soraya Chanyasubkit
• Daniela Chapin
• Taissia A Chatilo, PSYD; MA; MPSY
• Hung Chau
• Rutillo O. Chaves Jr., D.D.S.
• Xia Che, DAOM, L.AC..
• Ashley Wen Chen, PHARMD

• Mental Health Counselor in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.