Charise Mae Monge, M.ED, LAC, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-20308 Issued in AZ

Practice address

2921 N Grand Ave Ste 9
Nogales, AZ 85621-3921

Phone

(520) 224-4793

NPI assigned

Apr 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1235525254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 E 11TH AVE APT C211",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025445",
            "telephone_number": "520-224-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 N GRAND AVE STE 9",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856213921",
            "telephone_number": "520-224-4793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 W Boone Ave",
            "address_2": "Suite 577",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992012354",
            "country_code": "US",
            "telephone_number": "509-202-8687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "277 W. McKeown Ave",
            "address_2": "S1",
            "address_purpose": "LOCATION",
            "city": "Patagonia",
            "state": "AZ",
            "postal_code": "85624",
            "country_code": "US",
            "telephone_number": "520-224-4793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONGE",
        "first_name": "CHARISE",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "M.ED, LAC, LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC60501445",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC20308",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC20308",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC-60501445",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61463314",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-20308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mentally Ill Kids in Distress
• Jorge Raul Mera, MD
• Holly Mikayla Milner, BSN, RN
• Guadalupe Robles Misquez, N.P.
• Laura C Monarque, NP
• Christina F Montez, NURSE
• John A. Moore, CRNA
• John Mortensen, OD
• Patrick Hugh Mullett, MD
• Kristin Mungarro, DNP, AGNP

• Mental Health Counselor in Nogales, AZ
• Providers in Nogales, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.