Individual provider Active NPI

Charles I Flores, PH.D., LPCC, LAADC-S

  • Professional Counselor
  • Berkeley, CA
National Provider Identifier
1437363595
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
170 Issued in CA
Practice address
2434 Milvia St Ofc B
Berkeley, CA 94704-1918
Phone
(415) 992-8260
NPI assigned
May 9, 2007
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 170 CA Primary

Addresses

Primary practice location

2434 Milvia St Ofc B
Berkeley, CA 94704-1918

Mailing address

4281 Piedmont Ave Ofc 1
Oakland, CA 94611-4713
Phone (415) 992-8260

Other practice location 1

2640 Martin Luther King Jr Way Ofc B
Berkeley, CA 94704-3238
Phone (510) 823-5038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
170CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1437363595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4281 PIEDMONT AVE OFC 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114713",
            "telephone_number": "415-992-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 MILVIA ST OFC B",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041918",
            "telephone_number": "415-992-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2640 Martin Luther King Jr Way Ofc B",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947043238",
            "country_code": "US",
            "telephone_number": "510-823-5038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "CHARLES",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPCC, LAADC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.