Charis Foundation Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3964 Issued in NC

Legal business name

CHARIS FOUNDATION INC

Practice address

9621 Six Forks Rd
Raleigh, NC 27615-1628

Phone

(919) 671-4374

NPI assigned

Nov 29, 2010

Last updated

Nov 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frank Green, D.MIN, LMFTNPI 1548476039

Title

Founder

Phone

(919) 556-9141

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corinne Green, PH.D.

  • Psychologist
  • Raleigh, NC
  • NPI 1760713416
  Medicare reassignment Care Compare group NPD
• Robert Lewis Stuckey, LCSW, LCAS

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1831564079
  Medicare reassignment Care Compare group NPD
• Julia Wheeler, LPCA, NCC

  • Mental Health Counselor
  • Wake Forest, NC
  • NPI 1447622998
  Medicare reassignment Care Compare group NPD
• Frank Paul Green, MFT

  • Marriage & Family Therapist
  • Wake Forest, NC
  • NPI 1548476039
  NPD (past) Authorized official
• Brandon J Russell

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1386196525
  NPD (past)

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1750683694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7716 FALL BRANCH CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878719",
            "telephone_number": "919-556-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9621 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151628",
            "telephone_number": "919-671-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIS FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "919-556-9141",
        "authorized_official_credential": "D.MIN, LMFT"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3964",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonja Renee Chappel, MSW, LCSWA
• Ilsy Chappell, MS, RD, LDN
• Jonathan D Chappell, M.D.
• Ana Chardon, LPN
• Christian J. Charette, LMFT
• Charismatic Hearts Home Care Agency, LLC
• Charles C Wiggins OD PLLC
• Charles Devine LLC
• Kirk L Charles, MD
• Adrienne Charleston, LPA

• Clinical Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.