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

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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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

Phone(833) 769-3524

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.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.