Charly Read Counseling PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCSW-34740 Issued in ID

Legal business name

CHARLY READ COUNSELING PLLC

Practice address

123 E 44TH St
Garden City, ID 83714-5009

Phone

(208) 921-3197

Fax

(208) 658-4827

NPI assigned

May 27, 2015

Organization subpart

No

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

Authorized official

Name

Charmaine Louise Read, LCSW

Title

Owner

Phone

(208) 921-3197

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Kathelene Bowen, LCSW

  • Clinical Social Worker
  • Garden City, ID
  • NPI 1760810154
  NPD

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1215316989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 ALDER ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055905",
            "telephone_number": "208-921-3197",
            "fax_number": "208-658-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E 44TH ST",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837145009",
            "telephone_number": "208-921-3197",
            "fax_number": "208-658-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLY READ COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "READ",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-921-3197",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCSW-34740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Garden City, ID
• Providers in Garden City, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.