LISA MARY CHARLEBOIS L.C.S.W.
NPI 1851310957
Counselor - Professional in Gold River, CA

Q: What is Lisa Charlebois's NPI number?

The NPI number for Lisa Charlebois is 1851310957. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Lisa Charlebois's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Charlebois was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment

11344 COLOMA RD, SUITE 250, GOLD RIVER, CA 95670(916) 552-6122(916) 852-5838 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lisa Mary Charlebois L.c.s.w. NPPES

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

LISA MARY CHARLEBOIS L.C.S.W. (NPI 1851310957) is an individual professional provider in Gold River, California, licensed in California (LCS 15125) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1851310957

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLISA MARY CHARLEBOISCredential: L.C.S.W.

Location Address11344 COLOMA RD, SUITE 250Gold River, CA 95670-4457

Mailing Address11344 Coloma Rd, Suite 250Gold River, CA 95670-4457 · (916) 552-6122 · Fax (916) 852-5838

Phone(916) 552-6122

Fax(916) 852-5838

Sole ProprietorYes

Medical School CMSOtherGraduated 1988

Enumeration DateJuly 19, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1851310957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · LCS 15125

11344 COLOMA RD, Gold River, CA 95670

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Other Identifiers 2

OtherLCS151251CA · Blue Shield Id #

Other049887CA · Managed Health Network Id

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

Lisa Mary Charlebois L.c.s.w. 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 ID4486986833

PECOS Enrollment IDI20191104002870

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 20

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

AUTHENTIC COUNSELING ASSOCIATES - A PSYCHOLOGICAL CORPORATION

Psychologist

11344 COLOMA RD, SUITE 435
GOLD RIVER, CA 95670

Sacramento County (916) 709-1170

AMERICAN RIVER SPEECH

Speech-Language Pathologist

11344 COLOMA RD
GOLD RIVER, CA 95670

Sacramento County (916) 631-0428

SANDRA STEMPLE PHD, LCSW

Psychologist (Clinical)

11344 COLOMA RD, SUITE 605
GOLD RIVER, CA 95670

Sacramento County (916) 206-4193

TAYLOR M KING

Behavior Technician

11344 COLOMA RD
GOLD RIVER, CA 95670

Sacramento County (916) 676-0488

KAREN MICHELLE FAGERSTROM PSY.D.

Psychologist

11344 COLOMA RD, SUITE 605
GOLD RIVER, CA 95670

Sacramento County (916) 709-1170

DR. MICHAEL ALLEN MD

Pediatrics

11344 COLOMA RD, STE 445
GOLD RIVER, CA 95670

Sacramento County (916) 803-7040

MIKA MOTO JENNIFER HENDERSON

Behavior Technician

11344 COLOMA RD
GOLD RIVER, CA 95670

Sacramento County (916) 676-0488

VICKI NORMAN M.A.-CCC-SLP

Speech-Language Pathologist

11344 COLOMA RD, #810
GOLD RIVER, CA 95670

Sacramento County (916) 631-0428

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 Lisa Charlebois's NPI number?

The NPI number for Lisa Charlebois is 1851310957. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Lisa Charlebois located?

Lisa Charlebois practices at 11344 Coloma Rd Suite 250, Gold River, CA 95670. The listed phone number is (916) 552-6122.

What is Lisa Charlebois's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lisa Charlebois enrolled in Medicare?

Yes. Lisa Charlebois 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.

When was this NPI record last updated?

The NPPES record for Lisa Charlebois was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.