CHARMAINE RENEE DOCKETT LPC - NPI 1780285189

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Charmaine Renee Dockett Lpc NPPES

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

CHARMAINE RENEE DOCKETT LPC (NPI 1780285189) is an individual mental health provider in Chantilly, Virginia, licensed in Virginia (0701009977) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in South Riding.

NPPES Registry Identity

NPI1780285189

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCHARMAINE RENEE DOCKETTCredential: LPC

Location Address4229 LAFAYETTE CENTER DR STE 1675Chantilly, VA 20151-1270

Mailing Address906 Ne 13th PlCape Coral, FL 33909-1510 · (202) 330-6034

Phone(855) 326-8094

Sole ProprietorYes

Enumeration DateNovember 3, 2020

Last NPPES UpdateMay 19, 20253 updates tracked since enumeration

NPPES CertifiedMay 19, 2025

✔ NPI 1780285189 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

Licenses✔ Licensed in VA · 0701009977✔ Licensed in FL · MH21279

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 86663 (TX), PRC2000013 (DC)

4229 LAFAYETTE CENTER DR STE 1675, Chantilly, VA 20151

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Secondary Practice Location 1

Location 143565 Ahlea LnSouth Riding, VA 20152-4800 · Phone (202) 330-6034

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charmaine Renee Dockett Lpc 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 12

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

STAY AT HOME CARE

In Home Supportive Care