Active NPI
Nestor Dominic St. Charles, L.M.H.C.
- Mental Health Counselor
- Coral Springs, FL
National Provider Identifier
1811234016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 11369
- Practice address
- 1515 N University Dr
Suite 116a
Coral Springs, FL 33071-6096 - Phone
- (954) 464-1570
- NPI assigned
- Jan 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 11369 | FL | Primary |
Addresses
Primary practice location
1515 N University Dr
Suite 116a
Coral Springs, FL 33071-6096
Mailing address
10701 NW 24TH St
Coral Springs, FL 33065-3668
Phone (954) 464-1570
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH 11369 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1811234016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10701 NW 24TH ST",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330653668",
"telephone_number": "954-464-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N UNIVERSITY DR",
"address_2": "SUITE 116A",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716096",
"telephone_number": "954-464-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. CHARLES",
"first_name": "NESTOR",
"middle_name": "DOMINIC",
"credential": "L.M.H.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-08",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 11369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.