Individual provider Active NPI

Charlis Madonna Harvey

  • Mental Health Counselor
  • Midlothian, VA
National Provider Identifier
1962399857
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701014877 Issued in VA
Practice address
13354 Midlothian Tpke Ste 200
Midlothian, VA 23113-4258
Phone
(804) 277-9355
Fax
(804) 210-2443
NPI assigned
Jun 23, 2025
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701014877 VA Primary

Addresses

Primary practice location

13354 Midlothian Tpke Ste 200
Midlothian, VA 23113-4258

Mailing address

1566 S Laburnum Ave
Henrico, VA 23231-5802
Phone (804) 238-1648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701014877VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health in Mind, LLC Mental Health CurrentSince Jun 29, 2025 Accepting new patients

Locations

13354 Midlothian Tpke
Ste 200
Midlothian, VA 23113
Phone (804) 251-1629

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1962399857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566 S LABURNUM AVE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232315802",
            "telephone_number": "804-238-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13354 MIDLOTHIAN TPKE STE 200",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134258",
            "telephone_number": "804-277-9355",
            "fax_number": "804-210-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "CHARLIS",
        "middle_name": "MADONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701014877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.