Jenica Charles

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

20 Miller St
Plattsburgh, NY 12901-1831

Phone

(518) 565-9577

NPI assigned

May 16, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Peaceful Pathways Mental Health Counseling Services PLLC

  • Mental Health Counselor
  • Plattsburgh, NY
  • NPI 1033998869

  Mental Health

  NPD

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1295526309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MILLER ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011831",
            "telephone_number": "518-565-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MILLER ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011831",
            "telephone_number": "518-565-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "JENICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changed by Christ Inc
• Laci Charette, PSY.D.
• Louis-Philippe Charette, MD
• Scott Thomas Charette
• Justin Charland, DPT
• Breanna Chase
• Harold H Chaskey Jr., MD
• Fae Ann Chatt, MED, CAS
• Archil Chechelashvili, MD
• Joel Cherian

• All providers in Plattsburgh, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.