Individual provider Active NPI

Charlotte Amber Wright, LMFT

  • Marriage & Family Therapist
  • Summerville, SC
National Provider Identifier
1184096422
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
7045 Issued in SC
Practice address
103B Harth PL
Summerville, SC 29485-8107
Phone
(843) 879-3520
Fax
(843) 879-2174
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 7045 SC Primary
Marriage & Family Therapist 106H00000X 1943 NC

Addresses

Primary practice location

103B Harth PL
Summerville, SC 29485-8107

Mailing address

301 Huntington CT
Hanahan, SC 29410-8214
Phone (843) 605-1482

Other names 1

  • Miss Charlotte Amber Fletcher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20250321002859 IN Practitioner - Marriage and Family Therapist 4981056603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1943NCMDPsychologist
7045SCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespring, Inc CurrentSince Mar 10, 2025 Accepting new patients
Lifespring, Inc CurrentSince Mar 10, 2025 Accepting new patients

Locations

432 E Court Ave
Jeffersonville, IN 47130
Phone (812) 206-0012

460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583

1036 Sharon Dr
Jeffersonvlle, IN 47130
Phone (812) 258-9281

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1184096422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HUNTINGTON CT",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294108214",
            "telephone_number": "843-605-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103B HARTH PL",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858107",
            "telephone_number": "843-879-3520",
            "fax_number": "843-879-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CHARLOTTE",
        "middle_name": "AMBER",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "7045",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "FLETCHER",
            "middle_name": "AMBER",
            "prefix": "MISS",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.