SCOTT MICHAEL CHARLTON
NPI 1043652944
Counselor - Professional in Modesto, CA

Q: What is Scott Charlton's NPI number?

The NPI number for Scott Charlton is 1043652944. It was assigned to this individual provider in the NPPES registry on July 22, 2013.

Q: What is Scott Charlton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Scott Charlton was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 22, 2013PECOS Enrolled

2215 BLUE GUM AVE, MODESTO, CA 95358(209) 573-1981(209) 525-5498 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 4, 2022, Mar 17, 2018, Nov 22, 2016 (3 updates tracked since 2016).

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About Scott Michael Charlton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT MICHAEL CHARLTON (NPI 1043652944) is an individual professional provider in Modesto, California, licensed in California (IMF89161) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Modesto.

NPPES Registry Identity

NPI1043652944

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameSCOTT MICHAEL CHARLTON

Location Address2215 BLUE GUM AVEModesto, CA 95358-1052

Mailing Address2215 Blue Gum AveModesto, CA 95358-1052 · (209) 573-1981 · Fax (209) 525-5498

Phone(209) 573-1981

Fax(209) 525-5498

Sole ProprietorNo

Enumeration DateJuly 22, 2013

Last NPPES UpdateJanuary 4, 20223 updates tracked since enumeration

✔ NPI 1043652944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · IMF89161

Also ListedCounselorTaxonomy 101Y00000X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License IMF89161 (CA)

2215 BLUE GUM AVE, Modesto, CA 95358

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Secondary Practice Location 1

Location 12900 Standiford Ave Ste 16B-109Modesto, CA 95350-0167 · Phone (209) 573-1981

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Michael Charlton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Scott Charlton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

28 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARTHA ANGELICA ESTRADA MFT INTERN

Marriage & Family Therapist