Individual provider Active NPI

Charese Taylor, LMFT

  • Marriage & Family Therapist
  • Saint Marys, GA
National Provider Identifier
1235469719
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001835 Issued in GA
Practice address
88 Lindsey LN Ste C
Saint Marys, GA 31558-1725
Phone
(912) 552-7435
Fax
(912) 341-6794
NPI assigned
Jan 6, 2010
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0818 KY
Clinical Social Worker 1041C0700X 6956 KY
Marriage & Family Therapist 106H00000X MFT001835 GA Primary

Addresses

Primary practice location

88 Lindsey LN Ste C
Saint Marys, GA 31558-1725

Mailing address

88 Lindsey LN Ste C
Saint Marys, GA 31558-1725
Phone (912) 552-7435

Other practice location 1

8359 Beacon Blvd Ste 416
Fort Myers, FL 33907
Phone (502) 224-2082

Other practice location 2

3121 Brooklawn Campus Dr
Louisville, KY 40218-1282
Phone (502) 451-5177

Other practice location 3

3121 Brooklawn Campus Dr
Louisville, KY 40218-1282
Phone (502) 451-5177

Other identifiers 7

IdentifierTypeStateIssuer
003243551CMedicaidGA
1477618718MedicaidKY
1033275342MedicaidKY
1265598270MedicaidKY
1740554864MedicaidKY
61-0471572MedicaidKY
1558591669MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY, GA, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20260131000174 FL Practitioner - Marriage and Family Therapist 9436637436 Reassigns benefits to 1 organization
I20260204001363 KY Practitioner - Marriage and Family Therapist 9436637436 Reassigns benefits to 1 organization
I20260211003380 GA Practitioner - Marriage and Family Therapist 9436637436 Reassigns benefits to 1 organization
I20260212003000 NC Practitioner - Marriage and Family Therapist 9436637436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

312 S 4TH St
Suite 700
Louisville, KY 40202-3046
Phone (866) 630-0966

333 SE 2ND Ave
Suite 2000
Miami, FL 33131-2185
Phone (866) 630-0966

3372 Peachtree Rd NE
Suite 115
Atlanta, GA 30326-1963
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0818KYMDAddiction (Substance Use Disorder) Counselor
2176NCMDClinical Psychologist
MFT001835GAMDMarriage & Family Therapist
6956KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Clinical CurrentSince Jan 1, 2026 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Jan 1, 2026 Accepting new patients
Family Matters of Coastal Georgia, Inc. Past Accepting new patients

Locations

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1235469719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 LINDSEY LN STE C",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581725",
            "telephone_number": "912-552-7435",
            "fax_number": "912-341-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 LINDSEY LN STE C",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581725",
            "telephone_number": "912-552-7435",
            "fax_number": "912-341-6794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8359 Beacon Blvd Ste 416",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "33907",
            "country_code": "US",
            "telephone_number": "502-224-2082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3121 Brooklawn Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402181282",
            "country_code": "US",
            "telephone_number": "502-451-5177",
            "fax_number": "502-451-0896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3121 Brooklawn Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402181282",
            "country_code": "US",
            "telephone_number": "502-451-5177",
            "fax_number": "502-451-0896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHARESE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0818",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "6956",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003243551C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477618718",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033275342",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265598270",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740554864",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61-0471572",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558591669",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.