Individual provider Active NPI

Charlotte Marie Lewis, CES, LMHC

  • Mental Health Counselor
  • Boonville, NY
National Provider Identifier
1639888449
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
014535-01 Issued in NY
Practice address
406 Post St
Boonville, NY 13309-1235
Phone
(315) 982-0433
Fax
(315) 358-4399
NPI assigned
Nov 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 014535-01 NY Primary

Addresses

Primary practice location

406 Post St
Boonville, NY 13309-1235

Mailing address

406 Post St Ste B
Boonville, NY 13309-1235
Phone (315) 807-8670

Other practice location 1

25046 Cooper Ave
Calcium, NY 13616-2166
Phone (315) 807-8670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014535-01NYMDMental Health Counselor
014535NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverstone Mental Health Counseling Services, P.C. Mental Health Current Accepting new patients
Melanie Saber LCSW, PLLC CurrentSince Dec 10, 2023 Accepting new patients

Locations

406 Post St
Ste B
Boonville, NY 13309
Phone (315) 807-8670

406 Post St
Boonville, NY 13309
Phone (315) 358-4398

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": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1639888449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 POST ST STE B",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133091235",
            "telephone_number": "315-807-8670",
            "fax_number": "315-222-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 POST ST",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133091235",
            "telephone_number": "315-982-0433",
            "fax_number": "315-358-4399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25046 Cooper Ave",
            "address_purpose": "LOCATION",
            "city": "Calcium",
            "state": "NY",
            "postal_code": "136162166",
            "country_code": "US",
            "telephone_number": "315-807-8670",
            "fax_number": "315-222-8670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHARLOTTE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "CES, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014535-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonville, NY

Sources for this page

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