Active NPI
Margaret Charity Charmoli, PHD
- Counseling Psychologist
- St Paul, MN
National Provider Identifier
1730239278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP1479
- Practice address
- 570 Asbury Street
Suite 202a
St Paul, MN 55104-1850 - Phone
- (651) 645-5588
- Fax
- (651) 642-9851
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP1479 | MN | Primary |
Addresses
Primary practice location
570 Asbury Street
Suite 202a
St Paul, MN 55104-1850
Mailing address
570 Asbury Street
Suite 202a
St Paul, MN 55104-1850
Phone (651) 645-5588
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 932761001632 | Other | MN | PREFERRED ONE PIN |
| 00Q54CH | Other | MN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060104000570 | MN | Practitioner - Clinical Psychologist | 6103849245 | Practice locations: Saint Paul, MN |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
570 Asbury St
Suite 202a
Saint Paul, MN 55104-1850
Phone (651) 645-5588
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1479 | MN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730239278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 ASBURY STREET",
"address_2": "SUITE 202A",
"city": "ST PAUL",
"state": "MN",
"postal_code": "551041850",
"telephone_number": "651-645-5588",
"fax_number": "651-642-9851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 ASBURY STREET",
"address_2": "SUITE 202A",
"city": "ST PAUL",
"state": "MN",
"postal_code": "551041850",
"telephone_number": "651-645-5588",
"fax_number": "651-642-9851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARMOLI",
"first_name": "MARGARET",
"middle_name": "CHARITY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP1479",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE PIN",
"identifier": "932761001632",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00Q54CH",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.