Charles Michel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34004273A Issued in IN

Practice address

702 W Alto Rd
Kokomo, IN 46902-4907

Phone

(765) 453-7422

Fax

(765) 453-3773

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4

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.

• Mending Minds, LLC

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1780258798
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1609901008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6459",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469046459",
            "telephone_number": "765-453-7422",
            "fax_number": "765-453-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W ALTO RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469024907",
            "telephone_number": "765-453-7422",
            "fax_number": "765-453-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "CHARLES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004273A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100154150A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael James Mendler, PT
• Mercy Family Health Center
• Meridian Health Services Corp.
• Lauren Whitney Merrell, LCSW
• Teri Lynn Merritt, MS.
• Mid America Clinical Laboratories LLC
• Midwest Apnea Solutions, LLC
• Midwest Eye Consultants, P.C.
• Midwest Eye Consultants, P.C.
• Midwest Eye Consultants, P.C.

• All providers in Kokomo, IN
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.