Charles Christensen, LPC
Individual provider Active NPI Mental Health Counselor · Burley, ID
NPI 1841024692 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1841024692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6371360 (ID)
- Practice address
- 612 E 200 S
Burley, ID 83318-5405 - Phone
- (208) 572-0109
- NPI assigned
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6371360 | ID | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6371360 | ID | Yes |
Addresses
Primary practice location
612 E 200 S
Burley, ID 83318-5405
Mailing address
612 E 200 S
Burley, ID 83318-5405
Phone (208) 572-0109
Other providers in Burley, ID
- Travis Chandler
- Charolais Care I, Inc
- Lyndsie Chatburn
- Tamera Chatburn
- Garrett Child
- Ronald Christensen
- Marcus James Christiansen
- Rebecca D Church
- Clark Oral & Facial Surgery - Burley
- Katie Clegg
All providers in Burley, ID · Mental Health Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.