Individual provider Active NPI

Charles James Verro, MA, LMHC

  • Professional Counselor
  • Vancouver, WA
National Provider Identifier
1205951779
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LH00008656 Issued in WA
Practice address
314 W 15TH St Ste 200
Vancouver, WA 98660-2927
Phone
(360) 696-3600
NPI assigned
Mar 20, 2007
Last updated
Nov 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LH00008656 WA Primary

Addresses

Primary practice location

314 W 15TH St Ste 200
Vancouver, WA 98660-2927

Mailing address

14623 NE 50TH St
Vancouver, WA 98682-6064
Phone (360) 696-3600

Other practice location 1

3204 NE 58th St
Vancouver, WA 98663-1430
Phone (360) 696-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 28, 2024 through Feb 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00008656WAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1205951779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14623 NE 50TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986826064",
            "telephone_number": "360-696-3600",
            "fax_number": "360-696-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W 15TH ST STE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602927",
            "telephone_number": "360-696-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3204 NE 58th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986631430",
            "country_code": "US",
            "telephone_number": "360-696-3600",
            "fax_number": "360-696-3616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERRO",
        "first_name": "CHARLES",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH00008656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.