Thomas L Charles, MSW, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4207-123 Issued in WI

Practice address

108 E North St
Friendship, WI 53934-9443

Phone

(608) 339-4511

Fax

(608) 339-4593

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Hafermann Counseling Collaborative, LLC

  • Professional Counselor
  • Wisconsin Rapids, WI
  • NPI 1558043711
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265429260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E NORTH ST",
            "city": "FRIENDSHIP",
            "state": "WI",
            "postal_code": "539349443",
            "telephone_number": "608-339-4511",
            "fax_number": "608-339-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E NORTH ST",
            "city": "FRIENDSHIP",
            "state": "WI",
            "postal_code": "539349443",
            "telephone_number": "608-339-4511",
            "fax_number": "608-339-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "THOMAS",
        "middle_name": "L",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4207-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39587400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Lee Batie, APRN- FNP-C
• Kevin B. Beaver, PT
• William D Borkon, MD
• Brookridge Adult Family Home LLC
• Linda Charles
• Emily Burzynski Clark, SLP
• Complete Care at Villa Pines LLC
• County of Adams
• County of Adams
• Tamara Starr Daniels, M.D.

• Mental Health Counselor in Friendship, WI
• Providers in Friendship, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.