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MS. MARY CLARE CHARLES
NPI 1376979344
Counselor - Mental Health in Portland, OR

Active since September 22, 2013PECOS Enrolled
1904 SE DIVISION ST, PORTLAND, OR 97202(503) 517-8663 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Mary Clare Charles NPPES

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

MS. MARY CLARE CHARLES (NPI 1376979344) is an individual mental health provider in Portland, Oregon and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376979344
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. MARY CLARE CHARLES
Location Address1904 SE DIVISION STPortland, OR 97202-1146
Mailing Address1904 Se Division StPortland, OR 97202-1146 · (503) 517-8663
Phone(503) 517-8663
Sole ProprietorNo
Enumeration DateSeptember 22, 2013
Last NPPES UpdateAugust 19, 2015
✔ NPI 1376979344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1904 SE DIVISION ST, Portland, OR 97202
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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)

Ms. Mary Clare Charles 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 20

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

MR. KIRK FENTON
Counselor (Mental Health)
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
EMMA REILLEY BUDDEKE
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
KRIS ONSHUS-WOMBLE
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
AARYN PRETTYMAN MSW
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
ALLEN MAXWELL HENDERSON
Case Manager/Care Coordinator
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
BRITTANY HOPE
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
CELESTE ARIEL MALONE
Marriage & Family Therapist
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
CRISTINA DOWNEY
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663

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 Mary Charles's NPI number?

The NPI number for Mary Charles is 1376979344. It was assigned to this individual provider in the NPPES registry on September 22, 2013.

Where is Mary Charles located?

Mary Charles practices at 1904 SE Division St, Portland, OR 97202. The listed phone number is (503) 517-8663.

What is Mary Charles's specialty?

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

Is Mary Charles enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Charles was last updated on August 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.