Elizabeth Rose Charles, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12182 Issued in FL

Practice address

9910 Guidy LN
Pensacola, FL 32514-1670

Phone

(850) 462-1611

Fax

(850) 462-1612

NPI assigned

Mar 25, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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)

Enrolled

State licenses

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.

• Ermc Counseling Services Inc

  • Mental Health Counselor
  • Greenacres, FL
  • NPI 1922315340
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1295977023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 RIVERINA DR",
            "address_2": "UNIT E",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325148158",
            "telephone_number": "617-594-0325",
            "fax_number": "850-462-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 GUIDY LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325141670",
            "telephone_number": "850-462-1611",
            "fax_number": "850-462-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12182",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010365700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vivian Chapman
• Charles Alan Charbonneau, O.D.
• Mary Underberg Charbonneau, O.D.
• Charles E Chapleau M D Neurosurgery PLLC
• Charles P. Riley MD PA
• Lashica Shartrece Charley, M.S,
• Charlie Delta Health Service LLC
• Tiffany Nicole Charney, CPNP-AC/PC
• Amy Chastain, APRN
• Hieu Minh Chau, DMD

• Mental Health Counselor in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.