PCC LPC PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PCC LPC PLLC

Doing business as

Phaedra Charles, LPC

Practice address

2212 Vermont Dr Apt D306
Fort Collins, CO 80525-6649

Phone

(720) 443-3240

NPI assigned

Jul 13, 2026

Organization subpart

No

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

Authorized official

Name

Phaedra Charles, LPC

Title

Owner

Phone

(720) 443-3240

Specialties & licenses 1

Addresses

Other names 1

• Phaedra Charles, LPC Doing business as

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1184543266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N GRANT ST STE R",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 VERMONT DR APT D306",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256649",
            "telephone_number": "720-443-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N Grant St Ste R",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802031859",
            "country_code": "US",
            "telephone_number": "720-443-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PCC LPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "PHAEDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-443-3240",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phaedra Charles, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.