Charles Richard Nesbitt Jr., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

133200 Issued in CA

Practice address

515 N Palm Canyon Dr BLDG H
Palm Springs, CA 92262-5543

Phone

(760) 459-6115

NPI assigned

Aug 30, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Marriage & Family Therapist

  Medicare reassignment NPD
• Palm Springs Treatment Center LLC

  • Substance Abuse Rehabilitation Facility
  • Palm Springs, CA
  • NPI 1871874008
  NPD (past)
• Palm Springs Treatment Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Palm Springs, CA
  • NPI 1396987392
  NPD (past)

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1497303655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N PALM CANYON DR BLDG H",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625543",
            "telephone_number": "760-459-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N PALM CANYON DR BLDG H",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625543",
            "telephone_number": "760-459-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "name_suffix": "Jr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-30",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106972",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT106972",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "133200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "foundationsrecoverynetwork.com",
            "affiliation": "Y",
            "endpointDescription": "URL",
            "affiliationName": "Foundations Recovery Network",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "company",
            "address_1": "515 N Palm Canyon Dr Bldg H",
            "city": "Palm Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922625543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grant Nelson, M.D.
• Janette F Nelson, P.T.
• Joshua C Nelson, DO
• Cheri Leann Nenigar
• Ashley Ann Nepper
• David Lawrence Neumann, MD
• Carlos Adrian Nevarez Ontiveros, MD
• Krysten Aline Newcomer, DO
• Leah Newman
• Ty Jacob Newman, CRNA

• Marriage & Family Therapist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.