Individual provider Active NPI

Charmaine Renee Dockett, LPC

  • Mental Health Counselor
  • Chantilly, VA
National Provider Identifier
1780285189
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701009977 Issued in VA
Practice address
4229 Lafayette Center Dr Ste 1675
Chantilly, VA 20151-1270
Phone
(855) 326-8094
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH21279 FL
Professional Counselor 101YP2500X 86663 TX
Professional Counselor 101YP2500X PRC2000013 DC
Mental Health Counselor 101YM0800X 0701009977 VA Primary

Addresses

Primary practice location

4229 Lafayette Center Dr Ste 1675
Chantilly, VA 20151-1270

Mailing address

906 NE 13TH PL
Cape Coral, FL 33909-1510
Phone (202) 330-6034

Other practice location 1

43565 Ahlea Ln
South Riding, VA 20152-4800
Phone (202) 330-6034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240117003661 FL Practitioner - Mental Health Counselor 8426423732 Reassigns benefits to 1 organization
I20240119000432 DC Practitioner - Mental Health Counselor 8426423732 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701009977VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rivers of Hope Counseling Center LLC Mental Health CurrentSince Mar 1, 2023 Accepting new patients

Locations

1629 K St NW
Ste 300
Washington, DC 20006
Phone (202) 922-6630

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

5900 Balcones Dr
Ste 11212
Austin, TX 78731
Phone (855) 326-4673

4229 Lafayette Center Dr
Ste 1675
Chantilly, VA 20151
Phone (804) 476-0889

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1780285189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 NE 13TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091510",
            "telephone_number": "202-330-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1675",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511270",
            "telephone_number": "855-326-8094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43565 Ahlea Ln",
            "address_purpose": "LOCATION",
            "city": "South Riding",
            "state": "VA",
            "postal_code": "201524800",
            "country_code": "US",
            "telephone_number": "202-330-6034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCKETT",
        "first_name": "CHARMAINE",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21279",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86663",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC2000013",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701009977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

Verify at the official NPI Registry.