Charles Quinntin Laprade IV, M.S./ED.S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11416 Issued in FL

Practice address

5991 Chester Ave
#104
Jacksonville, FL 32217-2269

Phone

(904) 448-1992

Fax

(904) 448-8866

NPI assigned

Nov 21, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Edwards Counseling Associates, Corp

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1114122215
  NPD (past)

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1659615110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56197",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322416197",
            "telephone_number": "904-448-1992",
            "fax_number": "904-448-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5991 CHESTER AVE",
            "address_2": "#104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172269",
            "telephone_number": "904-448-1992",
            "fax_number": "904-448-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPRADE",
        "first_name": "CHARLES",
        "middle_name": "QUINNTIN",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "M.S./ED.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manoucheka Laplante
• Joshua Lapointe, QASP
• Dakota Makenzie Laporte
• Lapp & Associates Behavioral Counselind Ctr
• Ashley Laprade, MS
• Madelyn Lindsley Laprade, MM, MT-BC, NICU-MT
• Sebastian Rafael Lara Matos
• Tammy A. Laramie, O.D.
• Melissa Larcombe
• Christine Large-Rothberg, L.C.S.W.

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.