CHARLES CARTER LPC
NPI 1992289961
Counselor - Mental Health in De Pere, WI

Active since September 17, 2018PECOS EnrolledAccepts Medicare Assignment
3860 MONROE RD, DE PERE, WI 54115(920) 496-4700 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2025, May 12, 2025, Jul 11, 2023 and 2 more (5 updates tracked since 2018).

About Charles Carter Lpc NPPES

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

CHARLES CARTER LPC (NPI 1992289961) is an individual mental health provider in De Pere, Wisconsin, licensed in Wisconsin (11456-125) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992289961
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLES CARTERCredential: LPC
Location Address3860 MONROE RDDe Pere, WI 54115-8399
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 17, 2018
Last NPPES UpdateJuly 10, 20255 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1992289961 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
License✔ Licensed in WI · 11456-125
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 0019077 (CO)
3860 MONROE RD, De Pere, WI 54115

Other Identifiers 1

Medicaid100310245WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Carter Lpc 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 ID7810348935
PECOS Enrollment IDI20250519002647
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Charles Carter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
Internal Medicine
3113 SAEMANN AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 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.

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.

Counselor (Mental Health)
3860 MONROE RD
DE PERE, WI 54115
Dietitian, Registered
3860 MONROE RD
DE PERE, WI 54115
Marriage & Family Therapist
3860 MONROE RD
DE PERE, WI 54115
Counselor (Mental Health)
3860 MONROE RD
DE PERE, WI 54115
Physical Therapist
3860 MONROE RD
DE PERE, WI 54115
Marriage & Family Therapist
3860 MONROE RD
DE PERE, WI 54115
Counselor (Professional)
3860 MONROE RD
DE PERE, WI 54115
Family Medicine
3860 MONROE RD
DE PERE, WI 54115

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 Charles Carter's NPI number?

The NPI number for Charles Carter is 1992289961. It was assigned to this individual provider in the NPPES registry on September 17, 2018.

Where is Charles Carter located?

Charles Carter practices at 3860 Monroe Rd, De Pere, WI 54115. The listed phone number is (920) 496-4700.

What is Charles Carter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Charles Carter enrolled in Medicare?

Yes. Charles Carter 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.

Which organizations bill Medicare for Charles Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Carter reassigns Medicare benefits to 2 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI). Each 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 Charles Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Carter accept?

Health plans from Security Health Plan and Select Health list Charles Carter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Carter was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.