CHARLES MCDONALD LPC
NPI 1225402654
Counselor - Professional in Lake Charles, LA

Active since November 23, 2015PECOS Enrolled
1924 SOUTHWOOD DR, LAKE CHARLES, LA 70605(337) 532-0446(888) 984-3535 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2023, Dec 14, 2015, Nov 23, 2015 (3 updates tracked since 2015).

About Charles Mcdonald Lpc NPPES

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

CHARLES MCDONALD LPC (NPI 1225402654) is an individual professional provider in Lake Charles, Louisiana, licensed in Louisiana (2407) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1225402654
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHARLES MCDONALDCredential: LPC
Location Address1924 SOUTHWOOD DRLake Charles, LA 70605-4131
Mailing Address5822 Willow Breeze DrLake Charles, LA 70605-3144 · (337) 532-0446
Fax(888) 984-3535
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 23, 2015
Last NPPES UpdateMay 9, 20233 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1225402654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 2407
1924 SOUTHWOOD DR, Lake Charles, LA 70605

Other Identifiers 1

Medicaid1104531LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Mcdonald Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476993171
PECOS Enrollment IDI20240429001552
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 Charles Mcdonald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
2829 4TH AVE STE 215
Lake Charles, LA 70601
  • Reassigned Medicare billing, Louisiana enrollment
  • 2 clinicians in this Medicare group

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 15

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

Nurse Practitioner (Psychiatric/Mental Health)
1924 SOUTHWOOD DR
LAKE CHARLES, LA 70605
Counselor (Professional)
1924 SOUTHWOOD DR
LAKE CHARLES, LA 70605
Counselor (Professional)
1924 SOUTHWOOD DR
LAKE CHARLES, LA 70605
Behavior Analyst
1924 SOUTHWOOD DR
LAKE CHARLES, LA 70605
Dentist (Endodontics)
1924 SOUTHWOOD DR
LAKE CHARLES, LA 70605
Behavior Analyst
1924 SOUTHWOOD DR
LAKE CHARLES, LA 70605
Nurse Practitioner (Psychiatric/Mental Health)
1924 SOUTHWOOD DR
LAKE CHARLES, LA 70605
Nurse Practitioner (Psychiatric/Mental Health)
1924 SOUTHWOOD DR
LAKE CHARLES, LA 70605

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 Mcdonald's NPI number?

The NPI number for Charles Mcdonald is 1225402654. It was assigned to this individual provider in the NPPES registry on November 23, 2015.

Where is Charles Mcdonald located?

Charles Mcdonald practices at 1924 Southwood Dr, Lake Charles, LA 70605. The listed phone number is (337) 532-0446.

What is Charles Mcdonald's specialty?

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

Is Charles Mcdonald enrolled in Medicare?

Yes. Charles Mcdonald is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Mcdonald reassigns Medicare benefits to Acadian Holistic Services LLC (Lake Charles, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Mcdonald was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.