CHARLIE FISETTE LMFT
NPI 1619759362
Marriage & Family Therapist in Clermont, FL

Active since October 17, 2023PECOS EnrolledAccepts Medicare Assignment
17011 STATE ROAD 50 STE 301, CLERMONT, FL 34711(833) 769-3524(352) 432-0106 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2026, Mar 24, 2025, Oct 17, 2023 (3 updates tracked since 2023).

About Charlie Fisette Lmft NPPES

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

CHARLIE FISETTE LMFT (NPI 1619759362) is an individual marriage & family therapist in Clermont, Florida, licensed in Florida (MT4758) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619759362
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameCHARLIE FISETTECredential: LMFT
Location Address17011 STATE ROAD 50 STE 301Clermont, FL 34711-8203
Mailing Address17011 State Road 50 Ste 301Clermont, FL 34711-8203 · (833) 769-3524 · Fax (352) 432-0106
Fax(352) 432-0106
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 17, 2023
Last NPPES UpdateJanuary 5, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
NPI 1619759362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in FL · MT4758
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
17011 STATE ROAD 50 STE 301, Clermont, FL 34711

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charlie Fisette Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436674926
PECOS Enrollment IDI20250417000108
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 10

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

Counselor (Mental Health)
17011 STATE ROAD 50 STE 301
CLERMONT, FL 34711
Nurse Practitioner (Psychiatric/Mental Health)
17011 STATE ROAD 50 STE 301
CLERMONT, FL 34711
Marriage & Family Therapist
17011 STATE ROAD 50 STE 301
CLERMONT, FL 34711
Social Worker (Clinical)
17011 STATE ROAD 50 STE 301
CLERMONT, FL 34711
Counselor (Mental Health)
17011 STATE ROAD 50 STE 301
CLERMONT, FL 34711
Social Worker (Clinical)
17011 STATE ROAD 50 STE 301
CLERMONT, FL 34711
Counselor (Mental Health)
17011 STATE ROAD 50 STE 301
CLERMONT, FL 34711
Counselor (Mental Health)
17011 STATE ROAD 50 STE 301
CLERMONT, FL 34711

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 Charlie Fisette's NPI number?

The NPI number for Charlie Fisette is 1619759362. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Where is Charlie Fisette located?

Charlie Fisette practices at 17011 State Road 50 Ste 301, Clermont, FL 34711. The listed phone number is (833) 769-3524.

What is Charlie Fisette's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Charlie Fisette enrolled in Medicare?

Yes. Charlie Fisette is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charlie Fisette accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Charlie Fisette 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 Charlie Fisette was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.