Kris Charles, SOCIAL WORKER
Individual provider Active NPI Mental Health Counselor · Caldwell Ohio, OH
NPI 1922409952 · NPPES record last updated Sep 9, 2014
Key facts
- NPI
- 1922409952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- I-0005834 -S (OH)
- Practice address
- 15708 McConnellsvill Rd
Noble Correctional Institution
Caldwell Ohio, OH 43724 - Phone
- (740) 732-5188
- NPI assigned
- Sep 9, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| I-0005834 -S | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noble Correctional Institution | Past | Accepting new patients | |
| Anderson Medical Group | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | I-0005834 -S | OH | Yes |
Addresses
Primary practice location
15708 McConnellsvill Rd
Noble Correctional Institution
Caldwell Ohio, OH 43724
Mailing address
15708 McConnellsvill Rd
Noble Correctional Institution
Caldwell Ohio, OH 43724
Phone (740) 732-5188
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2014. 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.