Charlie Blue Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHARLIE BLUE THERAPY LLC

Practice address

3370 Long Prairie Rd Ste 650
Flower Mound, TX 75022-3000

Phone

(469) 557-2997

NPI assigned

Nov 17, 2023

Last updated

Feb 25, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathon Curlett

Title

Manager

Phone

(469) 557-2997

Specialties & licenses 12

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• Holly Whelchel Alford, LAMFT

  • Marriage & Family Therapist
  • Flower Mound, TX
  • NPI 1336284033
  Medicare reassignment Care Compare group NPD
• Mae-Lin Y Mendoza, LPC

  • Mental Health Counselor
  • Richardson, TX
  • NPI 1750632576
  Medicare reassignment Care Compare group NPD
• Felicia Stacks, LPC

  • Professional Counselor
  • Mount Pleasant, TX
  • NPI 1487713715
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1255106340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 OLYMPIA DR UNIT 270118",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750270049",
            "telephone_number": "469-557-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 LONG PRAIRIE RD STE 650",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750223000",
            "telephone_number": "469-557-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIE BLUE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "CURLETT",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-557-2997"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jency Chacko
• Mikayla Noreen Chapa
• Rebel Lee Chapa, R.D.H.
• Beth D. Chapin, M.A., CCC-SLP
• Guy Christopher Charest, DO
• Charrette Chiropractic, LLC
• Mark N Charrette, D.C.
• Stephanie Marie Chase, D.C.
• Afeefa Chaudhry, MD
• Jessie Yuyue Chen, M.D.

• Clinical Social Worker in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.