Debra G. Charveron, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180003894 Issued in IL

Practice address

1770 E Lake Shore Dr
Decatur, IL 62521-3832

Phone

(217) 429-9700

NPI assigned

Apr 21, 2007

Sex

Female

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Decatur Counseling Center LLCGroup PAC ID 8325525397, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Decatur Counseling Center, LLC

  • Clinical Social Worker
  • Decatur, IL
  • NPI 1548136583
  Medicare reassignment Care Compare group NPD
• Decatur Psychological Associates PC

  • Counselor
  • Decatur, IL
  • NPI 1184732745
  NPD

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

{
    "created_epoch": "1177113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1154549731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 LAWSON DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261127",
            "telephone_number": "217-875-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E LAKE SHORE DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213832",
            "telephone_number": "217-429-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARVERON",
        "first_name": "DEBRA",
        "middle_name": "G.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-21",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin Chang, RPH
• Lyric Chapman
• Merideth Ann Chapman, NP-C
• Charis Center for Christian Counseling
• Charles R. Potter, M.D., L.L.C.
• Lindsay Chassay, LPC
• Lynette Chausse
• Sundararaj R Cherala, MD
• Youngtak CHI, DDS
• Mary T Chierek, CRNA

• Professional Counselor in Decatur, IL
• Providers in Decatur, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.