Individual provider Active NPI

Christine N Charles, LPC

  • Professional Counselor
  • McKinney, TX
National Provider Identifier
1508103581
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66253 Issued in TX
Practice address
1515 Heritage Dr
McKinney, TX 75069-3256
Phone
(972) 562-9647
NPI assigned
Jan 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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 66253 TX Primary

Addresses

Primary practice location

1515 Heritage Dr
McKinney, TX 75069-3256

Mailing address

1515 Heritage Dr Ste 110
McKinney, TX 75069-3379
Phone (972) 562-9647

Other practice location 1

1300 N Palafox St
Suite 103
Pensacola, FL 32501-2664
Phone (850) 266-2797

Other practice location 2

1099 18th St Ste 2350
Denver, CO 80202-1936
Phone (844) 256-8987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240104000699 TX Practitioner - Mental Health Counselor 4789035742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blank Slate TherapyGroup PAC ID 5193069219, 17 clinicians

Practice addresses (Care Compare)

5899 Preston Rd
Suite 404
Frisco, TX 75034-9590
Phone (214) 618-0588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66253TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Collin County Mental Health Mental Retardation Center Professional CurrentSince Jan 1, 2024 Accepting new patients
Blank Slate Therapy Professional CurrentSince Jan 23, 2024 Accepting new patients
Kugelman Counseling Center Past Accepting new patients

Locations

5899 Preston Rd
Ste 404
Frisco, TX 75034
Phone (214) 618-0588

1515 Heritage Dr
Ste 105
McKinney, TX 75069
Phone (972) 562-0331

1515 Heritage Dr
Ste 110
McKinney, TX 75069
Phone (972) 616-4702

7308 Alma Dr
Plano, TX 75025
Phone (972) 422-5939

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": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1508103581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HERITAGE DR STE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693379",
            "telephone_number": "972-562-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HERITAGE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693256",
            "telephone_number": "972-562-9647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 N Palafox St",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325012664",
            "country_code": "US",
            "telephone_number": "850-266-2797",
            "fax_number": "850-595-0180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1099 18th St Ste 2350",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802021936",
            "country_code": "US",
            "telephone_number": "844-256-8987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "CHRISTINE",
        "middle_name": "N",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.