Individual provider Active NPI

Steven Matthew Charpentier, PSYD, LP

  • Clinical Psychologist
  • New Richmond, WI
National Provider Identifier
1902158595
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4039-57 Issued in WI
Practice address
137 E 3Rd St
New Richmond, WI 54017-1830
Phone
(715) 781-9542
Fax
(715) 430-2261
NPI assigned
Oct 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4039-57 WI Primary
Professional Counselor 101YP2500X 5544-125 WI

Addresses

Primary practice location

137 E 3Rd St
New Richmond, WI 54017-1830

Mailing address

609 5TH Ave
Clear Lake, WI 54005-3928
Phone (715) 781-9542

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
5544-125WIMDProfessional Counselor
4039-57WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Charpentier Psychology, LLC Current Accepting new patients
Refresh Midwest Operations, SC Past Accepting new patients
Family Therapy Associates, LLC PastSince Feb 12, 2025 Accepting new patients

Organizations & group practices 3

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": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1902158595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 5TH AVE",
            "city": "CLEAR LAKE",
            "state": "WI",
            "postal_code": "540053928",
            "telephone_number": "715-781-9542",
            "fax_number": "715-430-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E 3RD ST",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171830",
            "telephone_number": "715-781-9542",
            "fax_number": "715-430-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARPENTIER",
        "first_name": "STEVEN",
        "middle_name": "MATTHEW",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-08",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "4039-57",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5544-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Richmond, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.