Individual provider Active NPI

Deana Lynn Charter, LPC

  • Professional Counselor
  • Gilbert, AZ
National Provider Identifier
1649408311
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-13076 Issued in AZ
Practice address
1147 W Bosal Dr
Gilbert, AZ 85233-5286
Phone
(480) 241-2720
Fax
(480) 839-4692
NPI assigned
Jul 1, 2009
Last updated
Jul 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-13076 AZ Primary

Addresses

Primary practice location

1147 W Bosal Dr
Gilbert, AZ 85233-5286

Mailing address

1147 W Bosal Dr
Gilbert, AZ 85233-5286
Phone (480) 241-2720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 11, 2025 through Jul 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-13076AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1649408311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 W BOSAL DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335286",
            "telephone_number": "480-241-2720",
            "fax_number": "480-839-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 W BOSAL DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335286",
            "telephone_number": "480-241-2720",
            "fax_number": "480-839-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARTER",
        "first_name": "DEANA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-13076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.