Individual provider Active NPI

Marie Judith Charpentier-Thorpe, MS, LMHC

  • Counselor
  • Astoria, OR
National Provider Identifier
1295552552
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C9698 Issued in OR
Practice address
10 Pier 1 Ste 204
Astoria, OR 97103-6328
Phone
(971) 257-9053
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH24310 FL
Counselor 101Y00000X C9698 OR Primary

Addresses

Primary practice location

10 Pier 1 Ste 204
Astoria, OR 97103-6328

Mailing address

5050 Salerno St
Ave Maria, FL 34142-9578
Phone (954) 444-4429

Other practice location 1

475 Biltmore Way Ste 109
Coral Gables, FL 33134-5724
Phone (415) 424-4266

Other practice location 2

5050 Salerno St
Ave Maria, FL 34142-9578
Phone (954) 444-4429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250314002848 FL Practitioner - Mental Health Counselor 8325560766 Reassigns benefits to 1 organization
I20250606002280 OR Practitioner - Mental Health Counselor 8325560766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shoreline Counseling LLCGroup PAC ID 4587985049, 26 clinicians

Practice addresses (Care Compare)

10 Pier
1 Suite 204
Astoria, OR 97103-6328
Phone (503) 789-6850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - Florida Inc Mental Health CurrentSince Mar 4, 2025 Accepting new patients
Shoreline Counseling LLC CurrentSince Apr 1, 2025 Accepting new patients
Telehealth Services USA Past Accepting new patients

Locations

4115 W Spruce St
Ste 205
Tampa, FL 33607
Phone (813) 413-4663

10 Pier 1
Ste 204
Astoria, OR 97103
Phone (503) 789-6850

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1295552552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SALERNO ST",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429578",
            "telephone_number": "954-444-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PIER 1 STE 204",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036328",
            "telephone_number": "971-257-9053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Biltmore Way Ste 109",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331345724",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 Salerno St",
            "address_purpose": "LOCATION",
            "city": "Ave Maria",
            "state": "FL",
            "postal_code": "341429578",
            "country_code": "US",
            "telephone_number": "954-444-4429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARPENTIER-THORPE",
        "first_name": "MARIE JUDITH",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24310",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C9698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

Verify at the official NPI Registry.