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CHARLENE NICOLE ENNIS LMHC
NPI 1073113932
Counselor - Mental Health in Lakewood, WA

Active since October 29, 2020PECOS EnrolledAccepts Medicare Assignment
9330 59TH AVE SW, LAKEWOOD, WA 98499(253) 620-5131 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charlene Nicole Ennis Lmhc NPPES

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

CHARLENE NICOLE ENNIS LMHC (NPI 1073113932) is an individual mental health provider in Lakewood, Washington and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1073113932
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLENE NICOLE ENNISCredential: LMHC
Location Address9330 59TH AVE SWLakewood, WA 98499-2858
Mailing Address9330 59th Ave SwLakewood, WA 98499-2858 · (253) 620-5131
Phone(253) 620-5131
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 29, 2020
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1073113932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
9330 59TH AVE SW, Lakewood, WA 98499
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charlene Nicole Ennis Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739606195
PECOS Enrollment IDI20250508001842
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 20

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

CLAUDIA HOCKETT MA
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5042
MS. TAMMY MARIE STEWART BA
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5833
MS. SABRINA LAVONNE THOMPSON AAS
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5015
EDWARD MBUGUA KARANJA LPN
Licensed Practical Nurse
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5015
ALIDA ROTHGEB
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-7020
ASHLEY PETTIS BS
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5015
TRACEY WILBER BA
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5015
ALAINA ANN BUTLER
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 581-7020

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 Charlene Ennis's NPI number?

The NPI number for Charlene Ennis is 1073113932. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Where is Charlene Ennis located?

Charlene Ennis practices at 9330 59th Ave SW, Lakewood, WA 98499. The listed phone number is (253) 620-5131.

What is Charlene Ennis's specialty?

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

Is Charlene Ennis enrolled in Medicare?

Yes. Charlene Ennis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charlene Ennis accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Charlene Ennis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charlene Ennis was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.