Individual provider Active NPI

Charlotte Beam Mohler, M.A.

  • Mental Health Counselor
  • Hastings, MI
National Provider Identifier
1144482902
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401003756 Issued in MI
Practice address
3369 Heath Rd
Hastings, MI 49058-9725
Phone
(269) 948-9066
Fax
(269) 948-8430
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401003756 MI Primary

Addresses

Primary practice location

3369 Heath Rd
Hastings, MI 49058-9725

Mailing address

3369 Heath Rd
Hastings, MI 49058-9725
Phone (269) 948-9066

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401003756MIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1144482902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3369 HEATH RD",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490589725",
            "telephone_number": "269-948-9066",
            "fax_number": "269-948-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 HEATH RD",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490589725",
            "telephone_number": "269-948-9066",
            "fax_number": "269-948-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHLER",
        "first_name": "CHARLOTTE",
        "middle_name": "BEAM",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401003756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.