GEOVANNI WESLEY CHARLES LPC
NPI 1780567693
Counselor - Professional in Kutztown, PA
About Geovanni Wesley Charles Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEOVANNI WESLEY CHARLES LPC (NPI 1780567693) is an individual professional provider in Kutztown, Pennsylvania, licensed in Pennsylvania (PC018984) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Geovanni Wesley Charles Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Geovanni Charles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Pennsylvania enrollment
- 833 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Geovanni Charles's NPI number?
The NPI number for Geovanni Charles is 1780567693. It was assigned to this individual provider in the NPPES registry on July 29, 2025.
Where is Geovanni Charles located?
Geovanni Charles practices at 2200 Lifestyle Ln Apt 1102, Kutztown, PA 19530. The listed phone number is (484) 587-6014.
What is Geovanni Charles's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Geovanni Charles enrolled in Medicare?
Yes. Geovanni Charles is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Geovanni Charles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Geovanni Charles reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Geovanni Charles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Geovanni Charles was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Geovanni Wesley Charles, LPC · NPI 1780567693
Professional provider in Kutztown, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 29, 2025.
## Identity
- **NPI:** 1780567693 (Entity type: Individual)
- **Enumerated:** July 29, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC018984 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2200 LIFESTYLE LN APT 1102, Kutztown, PA 19530-8615
- **Phone:** (484) 587-6014
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780567693) · Data from the CMS NPPES public registry.