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CHARISSE NICHELLE BORDEAUX
NPI 1043760234
Counselor - Mental Health in Rosebud, SD

Active since October 11, 2016PECOS Enrolled

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2025, Aug 10, 2018, Oct 11, 2016 (3 updates tracked since 2016).

About Charisse Nichelle Bordeaux NPPES

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

CHARISSE NICHELLE BORDEAUX (NPI 1043760234) is an individual mental health provider in Rosebud, South Dakota and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043760234
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHARISSE NICHELLE BORDEAUX
Location AddressPO BOX 253Rosebud, SD 57570-0253
Mailing AddressPo Box 253Rosebud, SD 57570-0253 · (605) 515-3511
Phone(605) 515-3511
Sole ProprietorNo
Enumeration DateOctober 11, 2016
Last NPPES UpdateDecember 1, 20253 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1043760234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
PO BOX 253, Rosebud, SD 57570
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charisse Nichelle Bordeaux 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.

Other Providers at the Same Location NPPES

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

DR. KRISTIN R IYOTTE
Counselor (School)
PO BOX 253
ROSEBUD, SD 57570
Todd County (605) 515-7774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charisse Bordeaux's NPI number?

The NPI number for Charisse Bordeaux is 1043760234. It was assigned to this individual provider in the NPPES registry on October 11, 2016.

Where is Charisse Bordeaux located?

Charisse Bordeaux practices at PO Box 253, Rosebud, SD 57570. The listed phone number is (605) 515-3511.

What is Charisse Bordeaux's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Charisse Bordeaux enrolled in Medicare?

Yes. Charisse Bordeaux is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charisse Bordeaux was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.