Individual provider Active NPI

Tina Louise Charls, LPC

  • Professional Counselor
  • Chandler, AZ
National Provider Identifier
1750901799
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
21186 Issued in AZ
Practice address
840 E Tonto PL
Chandler, AZ 85249-2088
Phone
(313) 757-5336
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 21186 AZ Primary
Professional Counselor 101YP2500X 18907 AZ

Addresses

Primary practice location

840 E Tonto PL
Chandler, AZ 85249-2088

Mailing address

840 E Tonto PL
Chandler, AZ 85249-2088
Phone (520) 270-4225

Other names 1

  • Tina Louise Tarin Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18907AZMDProfessional Counselor
21186AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Professional Counseling Services, Inc Past Accepting new patients
Lifeline Professional Counseling Services, Inc Past Accepting new patients
Lifeline at Alphaomega Professional PastSince Apr 1, 2020 Accepting new patients
Lifeline Professional Counseling Services, Inc Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1750901799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E TONTO PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852492088",
            "telephone_number": "520-270-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E TONTO PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852492088",
            "telephone_number": "313-757-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLS",
        "first_name": "TINA",
        "middle_name": "LOUISE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "21186",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "18907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "TARIN",
            "middle_name": "LOUISE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; 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.