Charles F McKenna, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0001888 Issued in CO

Practice address

1548 G St
Salida, CO 81201-2645

Phone

(719) 221-5197

NPI assigned

Sep 13, 2023

Sex

Male

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

State licenses

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1376320226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 CLARK HILL RD",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019711",
            "telephone_number": "719-221-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 G ST",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012645",
            "telephone_number": "719-221-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "CHARLES",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0001888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Kathleen Mattix, RN
• Anastasiya May, MA, LPCC
• Andrew McAdoo, DO
• Cynthia Lyn McCall
• Dawn McDowell, FNP-C
• Kelsey Olbrich McNeill, LPC
• Jill Eva McQueen, FNP-C
• Mike Harris Counseling Group, P.C.
• Michael E. Millsap, O.D.
• Kekuni Minton

• All providers in Salida, CO
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.