Phaedra Charles

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC.0024641 Issued in CO

Practice address

2850 McClelland Dr Ste 3600
Fort Collins, CO 80525-2587

Phone

(970) 671-6969

NPI assigned

Apr 3, 2026

Last updated

Sep 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• PCC LPC PLLC

  dba Phaedra Charles, LPC

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1184543266
  Authorized official Same address or phone

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1639010564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 VERMONT DR APT D306",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256649",
            "telephone_number": "720-443-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MCCLELLAND DR STE 3600",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252587",
            "telephone_number": "970-671-6969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2212 Vermont Dr Apt D306",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805256649",
            "country_code": "US",
            "telephone_number": "720-443-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "PHAEDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0024641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Charbonneau, PT
• Brandon Joseph Charbonneau, OD
• Jacqueline Michelle Charbonneau, LCSW
• Jessie Charbonneau
• Jean Charbonnet, CNIM
• Nichole Chase
• Samara Chasin
• Julia Maya Chatterjee
• Nicholas Chaudhary-Mesdag, RBT
• Julio Chavarria

• Mental Health Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.