Individual provider Active NPI

Charnetta Coretta Robinson, EDD, LPC, NCC

  • Mental Health Counselor
  • Slidell, LA
National Provider Identifier
1609450063
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7770
Practice address
620 Oak Harbor Blvd Ste 101
Slidell, LA 70458-8862
Phone
(985) 224-5576
NPI assigned
May 11, 2021
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X 7770 Primary

Addresses

Primary practice location

620 Oak Harbor Blvd Ste 101
Slidell, LA 70458-8862

Mailing address

620 Oak Harbor Blvd Ste 101
Slidell, LA 70458-8862
Phone (985) 224-5576

Other practice location 1

1258 Brownswitch Rd Ste C
Slidell, LA 70461-1606
Phone (985) 661-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20260223002127 LA Practitioner - Mental Health Counselor 3870074339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

235 Civic Ctr Blvd
Houma, LA 70360

235 Civic Ctr Blvd
Houma, LA 70360-5937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Family Counseling, LLC Mental Health CurrentSince Dec 29, 2024 Accepting new patients
Start Corporation CurrentSince Jan 4, 2026 Accepting new patients
Start Corporation CurrentSince Jan 4, 2026 Accepting new patients

Locations

1505 N Florida St
Covington, LA 70433
Phone (985) 781-6080

420 Magnolia St
Houma, LA 70360
Phone (985) 873-7784

1258 Brownswitch Rd
Ste C
Slidell, LA 70461
Phone (985) 661-0560

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1609450063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 OAK HARBOR BLVD STE 101",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588862",
            "telephone_number": "985-224-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 OAK HARBOR BLVD STE 101",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588862",
            "telephone_number": "985-224-5576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1258 Brownswitch Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704611606",
            "country_code": "US",
            "telephone_number": "985-661-0560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CHARNETTA",
        "middle_name": "CORETTA",
        "credential": "EDD, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "7770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.