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MR. CHARLES NATHANIEL LYLES LICSW
NPI 1104555150
Counselor - Mental Health in Renton, WA

Active since June 06, 2022
707 S GRADY WAY STE 300, RENTON, WA 98057(888) 998-6423 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2024, Jun 6, 2022 (2 updates tracked since 2022).

About Mr. Charles Nathaniel Lyles Licsw NPPES

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

MR. CHARLES NATHANIEL LYLES LICSW (NPI 1104555150) is an individual mental health provider in Renton, Washington, licensed in Washington (61265382) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1104555150
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. CHARLES NATHANIEL LYLESCredential: LICSW
Location Address707 S GRADY WAY STE 300Renton, WA 98057-3245
Mailing Address707 S Grady Way Ste 300Renton, WA 98057-3245 · (888) 998-6423
Phone(888) 998-6423
Sole ProprietorNo
Enumeration DateJune 6, 2022
Last NPPES UpdateApril 17, 20252 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1104555150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · 61265382
707 S GRADY WAY STE 300, Renton, WA 98057
Open in Google Maps ↗

Accepted Insurance

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

Other Providers at the Same Location NPPES 12

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

ANGELIQUE JULIET VITTONE
Student in an Organized Health Care Education/Training Program
707 S GRADY WAY STE 300
RENTON, WA 98057
King County (425) 226-5062
CLAUDIA I CORTES
Social Worker (Clinical)
707 S GRADY WAY STE 300
RENTON, WA 98057
King County (425) 757-9118
MEAGHAN FERRICK EDS
Counselor (Mental Health)
707 S GRADY WAY STE 300
RENTON, WA 98057
King County (888) 998-6423
KARA DASTRUP
Student in an Organized Health Care Education/Training Program
707 S GRADY WAY STE 300
RENTON, WA 98057
King County (888) 998-6423
RACHEL LEANNA REDMAN
Student in an Organized Health Care Education/Training Program
707 S GRADY WAY STE 300
RENTON, WA 98057
King County (425) 226-5062
GABRIELA HERNANDEZ GARCILAZO LMHC
Counselor (Mental Health)
707 S GRADY WAY STE 300
RENTON, WA 98057
King County (425) 226-5062
EMILY M IANNAZZI MS
Student in an Organized Health Care Education/Training Program
707 S GRADY WAY STE 300
RENTON, WA 98057
King County (425) 226-5062
ADRIANA LOPEZ-ESTEBAN LICSW
Social Worker (Clinical)
707 S GRADY WAY STE 300
RENTON, WA 98057
King County (425) 226-5062

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 Charles Lyles's NPI number?

The NPI number for Charles Lyles is 1104555150. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Where is Charles Lyles located?

Charles Lyles practices at 707 S Grady Way Ste 300, Renton, WA 98057. The listed phone number is (888) 998-6423.

What is Charles Lyles's specialty?

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

What insurance does Charles Lyles accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Charles Lyles 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 Charles Lyles was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.