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CHARLENE ROSE MFT
NPI 1962521047
Marriage & Family Therapist in Modesto, CA

Active since March 28, 2007PECOS Enrolled
426 14TH ST STE 110, MODESTO, CA 95354(209) 480-8496(209) 343-3985 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2022, Mar 17, 2018, Dec 15, 2017 (3 updates tracked since 2017).

About Charlene Rose Mft NPPES

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

CHARLENE ROSE MFT (NPI 1962521047) is an individual marriage & family therapist in Modesto, California, licensed in California (45144) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Modesto.

NPPES Registry Identity

NPI1962521047
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCHARLENE ROSECredential: MFT
Location Address426 14TH ST STE 110Modesto, CA 95354-2661
Mailing Address426 14th St Ste 110Modesto, CA 95354-2661 · (209) 480-8496 · Fax (209) 343-3985
Phone(209) 480-8496
Fax(209) 343-3985
Sole ProprietorYes
Enumeration DateMarch 28, 2007
Last NPPES UpdateFebruary 4, 20223 updates tracked since enumeration
✔ NPI 1962521047 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 CA · 45144
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.
426 14TH ST STE 110, Modesto, CA 95354
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Secondary Practice Location 1

Location 12125 Wylie Dr, Suite 9, 1700 McHenry Village Way, Suite 11BModesto, CA 95355-3800 · Phone (209) 480-8496 · Fax (209) 579-5710

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlene Rose Mft 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

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

MORE MENTAL HEALTH COUNSELING
Social Worker
426 14TH ST STE 110
MODESTO, CA 95354
Stanislaus County (209) 505-2735

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 Charlene Rose's NPI number?

The NPI number for Charlene Rose is 1962521047. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Charlene Rose located?

Charlene Rose practices at 426 14th St Ste 110, Modesto, CA 95354. The listed phone number is (209) 480-8496.

What is Charlene Rose's specialty?

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

Is Charlene Rose enrolled in Medicare?

Yes. Charlene Rose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charlene Rose was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.