Geovanni Wesley Charles, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC018984 Issued in PA

Practice address

2200 Lifestyle LN Apt 1102
Kutztown, PA 19530-8615

Phone

(484) 587-6014

NPI assigned

Jul 29, 2025

Sex

Male

Sole proprietor

Yes

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Mental Health, PA

  Medicare reassignment NPD
• R Hood Therapy LLC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1144169921

  Professional

  NPD Authorized official
• R.Hood Therapy LLC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1497694327

  Professional

  NPD Authorized official

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: geovanni.charles.1@32853.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2025.

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1780567693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 LIFESTYLE LN APT 1102",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195308615",
            "telephone_number": "484-587-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LIFESTYLE LN APT 1102",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195308615",
            "telephone_number": "484-587-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "GEOVANNI",
        "middle_name": "WESLEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Marie Biggs, MS, LAT, ATC
• Bio-Medical Applications of Pennsylvania, Inc.
• James Calvin Blankenhorn, D.M.D.
• John Patrick Boyle, D.M.D.
• Gwendolyn Buchanan, M.S., P.T., W.C.C.
• Joanne Cohen, PH.D.
• Community Womens Care of Berks County
• Comprehensive Psychological & Educational Servies LTD.
• Concern-Professional Services for Children, Youth & Families
• Concern-Professional Services for Children, Youth & Families

• All providers in Kutztown, PA
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.

Verify at the official NPI Registry.