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MR. CHARLES BURLESON CROCKETT
NPI 1609963453
Counselor - Mental Health in Beaufort, SC

Active since October 05, 2006
1050 RIBAUT RD, BEAUFORT, SC 29902(843) 524-3379 Get Directions Write a Review

NPPES record last updated: October 7, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Charles Burleson Crockett NPPES

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

MR. CHARLES BURLESON CROCKETT (NPI 1609963453) is an individual mental health provider in Beaufort, South Carolina and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1609963453
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. CHARLES BURLESON CROCKETT
Location Address1050 RIBAUT RDBeaufort, SC 29902-5400
Mailing Address1050 Ribaut RdBeaufort, SC 29902-5400 · (843) 524-3379
Phone(843) 524-3379
Sole ProprietorYes
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 7, 2010
✔ NPI 1609963453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1050 RIBAUT RD, Beaufort, SC 29902
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Other Identifiers 5

Medicare NSC1609963453SC
Medicaid1609963453SC
Medicare OSCAR/certification1609963453SC
Medicare PIN1609963453SC
Medicare UPIN1609963453SC

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.

CHARLES J. REAMY MD
Psychiatry & Neurology (Psychiatry)
1050 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-3378
DR. GARY WINSTON NOBLE M.D.
Psychiatry & Neurology (Psychiatry)
1050 RIBAUT RD, COASTAL EMPIRE MENTAL HEALTH
BEAUFORT, SC 29902
Beaufort County (843) 524-3378
MISS ANGELA DINGLE
Counselor (Mental Health)
1050 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-2610
SHENIKA CHISOLM
Counselor (Mental Health)
1050 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-8899
MARGARET PAVONI LISW-CP
Social Worker
1050 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-3378
MRS. ELLEN E CHESNUT RN LMFT INDIANA
Marriage & Family Therapist
1050 RIBAUT RD, COASTAL EMPIRE COMMUNITY MENTAL HEALTH CENTER
BEAUFORT, SC 29902
Beaufort County (843) 524-8899
JOYCE ROMEO RN
Registered Nurse (Psychiatric/Mental Health)
1050 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-3378
AMY HARRY
Registered Nurse
1050 RIBAUT RD
BEAUFORT, SC 29902
Beaufort County (843) 524-8899

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 Crockett's NPI number?

The NPI number for Charles Crockett is 1609963453. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Charles Crockett located?

Charles Crockett practices at 1050 Ribaut Rd, Beaufort, SC 29902. The listed phone number is (843) 524-3379.

What is Charles Crockett's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles Crockett was last updated on October 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.