Active NPI
Charles Atlas Lindeman, LPCC
- Mental Health Counselor
- Fort Thomas, KY
National Provider Identifier
1174791198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0959
- Practice address
- 34 Miller LN
Fort Thomas, KY 41075-1808 - Phone
- (859) 878-2527
- NPI assigned
- Feb 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0959 | KY | Primary |
Addresses
Primary practice location
34 Miller LN
Fort Thomas, KY 41075-1808
Mailing address
34 Miller LN
Fort Thomas, KY 41075-1808
Phone (859) 757-7167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100269960 | Medicaid | KY |
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 |
|---|---|---|---|
| 0959 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1174791198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 MILLER LN",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751808",
"telephone_number": "859-757-7167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 MILLER LN",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751808",
"telephone_number": "859-878-2527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDEMAN",
"first_name": "CHARLES",
"middle_name": "ATLAS",
"name_prefix": "Mr.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-12",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "0959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100269960",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.