1. Home
  2. Directory
  3. California
  4. San Mateo
  5. Counselor
  6. NPI Profile

CHARLENE MAHABALI
NPI 1316203904
Counselor - Mental Health in San Mateo, CA

Active since April 08, 2012Opted out of Medicare · through Jan 17, 2028
225 37TH AVENUE, 3RD FLOOR, SAN MATEO, CA 94403(408) 261-7777 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charlene Mahabali NPPES

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

CHARLENE MAHABALI (NPI 1316203904) is an individual mental health provider in San Mateo, California, licensed in California (00232920) and active in the NPI registry since April 2012. She has opted out of Medicare through January 17, 2028 and is a graduate of Other (2010).

NPPES Registry Identity

NPI1316203904
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLENE MAHABALI
Location Address225 37TH AVENUE, 3RD FLOORSan Mateo, CA 94403
Mailing AddressPo Box 915Newark, CA 94560-0915 · (408) 261-7777
Phone(408) 261-7777
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 8, 2012
Last NPPES UpdateApril 12, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1316203904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 00232920
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License IMF64344 (CA), 84057 (CA)
225 37TH AVENUE, 3RD FLOOR, San Mateo, CA 94403
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Charlene Mahabali has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 17, 2024 through January 17, 2028.

Opt-Out Effective DateJanuary 17, 2024
Opt-Out In Effect ThroughJanuary 17, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

ZULMA L MAYORGA MSW
Counselor (Mental Health)
225 37TH AVENUE, 3RD FLOOR
SAN MATEO, CA 94403
San Mateo County (415) 939-2077

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 Mahabali's NPI number?

The NPI number for Charlene Mahabali is 1316203904. It was assigned to this individual provider in the NPPES registry on April 8, 2012.

Where is Charlene Mahabali located?

Charlene Mahabali practices at 225 37th Avenue, 3rd Floor, San Mateo, CA 94403. The listed phone number is (408) 261-7777.

What is Charlene Mahabali's specialty?

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

Is Charlene Mahabali enrolled in Medicare?

No. Charlene Mahabali has opted out of Medicare through January 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Charlene Mahabali was last updated on April 12, 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.