Charlotte Louise Marlow, LPCC

Individual provider Active NPI Professional Counselor · Whitley City, KY

NPI 1619620804 · NPPES record last updated Mar 2, 2026

Key facts

NPI
1619620804
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
306298 (KY)
Practice address
65 Center Ave
Whitley City, KY 42653-4380
Phone
(606) 376-7414
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 652
Whitley City, KY 42653

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260325000850 KY Practitioner - Mental Health Counselor 1355825563 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
306298KYMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 306298 KY Yes

Addresses

Primary practice location

65 Center Ave
Whitley City, KY 42653-4380

Mailing address

610 Ross LN
Winfield, TN 37892-2267
Phone (423) 319-6551

Other providers in Whitley City, KY

All providers in Whitley City, KY · Professional Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.