Individual provider Active NPI

Charlotte Farris, LPCC

  • Professional Counselor
  • Mount Sterling, KY
National Provider Identifier
1508239229
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
175330 Issued in KY
Practice address
29 N Maysville St
Mount Sterling, KY 40353-1471
Phone
(185) 952-0304
Fax
(859) 432-8935
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 175330 KY
Professional Counselor 101YP2500X 175330 KY Primary

Addresses

Primary practice location

29 N Maysville St
Mount Sterling, KY 40353-1471

Mailing address

29 N Maysville St
Mount Sterling, KY 40353-1471
Phone (859) 404-0810

Other identifiers 1

IdentifierTypeStateIssuer
7100503630MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20251016002321 KY Practitioner - Mental Health Counselor 8921425596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

119 Meadow View Dr
Mount Sterling, KY 40353-8401

119 View Dr
Mount Sterling, KY 40353

121 S Highland St
Winchester, KY 40391-2003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
175330KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Connections Mental Health CurrentSince May 4, 2023 Accepting new patients
Commonwealth Behavioral Health & Counseling Professional PastSince Oct 13, 2019 Accepting new patients

Organizations & group practices 2

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": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1508239229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 N MAYSVILLE ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531471",
            "telephone_number": "859-404-0810",
            "fax_number": "859-585-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N MAYSVILLE ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531471",
            "telephone_number": "185-952-0304",
            "fax_number": "859-432-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "CHARLOTTE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "175330",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "175330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100503630",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sterling, KY

Sources for this page

Verify at the official NPI Registry.