Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821362153 Individual Practitioner Male Practitioner

Charles Douglas Prince , LPC, ALPS

Counselor - Professional • Pedro, OH

Professional Overview & Biography Verified Profile Summary

Charles Prince, LPC, ALPS is a registered healthcare professional specializing in Counselor - Professional in Pedro, OH. Practice services are available at 115 PRIVATE ROAD 977 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

115 Private Road 977

Pedro, OH 456598608

Telephone 7405341386
Associated Practice Facility / Clinic
🏢 Ena, Inc. Facility NPI 1982893038

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Pedro, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
7 Specialists

Practicing in Pedro, OH (6923 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-18
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WV 2158

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License OH C.1801567

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License WV 276481

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License WV 123

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0005355002 (WV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jonathan Eastridge

Case Manager/Care Coordinator

NPI 1003486010
Michelle Taylor

Case Manager/Care Coordinator

NPI 1023557923
Shelby Bentley , LPN

Licensed Practical Nurse

NPI 1033750799

Licensed Practical Nurse

David Dailey

Case Manager/Care Coordinator

NPI 1033955661
Rebecca Vissing

Case Manager/Care Coordinator

NPI 1043051949
Brea Canterbury

Case Manager/Care Coordinator

NPI 1043064058

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location March 18, 2023

Registered at 115 PRIVATE ROAD 977, PEDRO, OH 456598608 (Tel: 7405341386)

📍
Updated Business Mailing Address March 18, 2023

Registered at 115 PRIVATE ROAD 977, PEDRO, OH 456598608

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2023

Counselor (License #C.1801567 in OH)

📍
Updated Practice Location September 11, 2018

Registered at 824 CROSS LANES DR, CROSS LANES, WV 253131338 (Tel: 3047599835)

📍
Updated Business Mailing Address September 11, 2018

Registered at 824 CROSS LANES DR, CROSS LANES, WV 253131338 (Tel: 3047599835)

👤
Provider Name / Credentials Updated September 11, 2018

Recorded as CHARLES PRINCE, LPC, ALPS

NPI Profile Active March 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2012

Registered at 1 PRESTERA WAY, HUNTINGTON, WV 257052069 (Tel: 3045257851)

📍
Updated Business Mailing Address March 05, 2012

Registered at 1 PRESTERA WAY, HUNTINGTON, WV 257052069 (Tel: 3045257851)

👤
Provider Name / Credentials Updated March 05, 2012

Recorded as CHARLES PRINCE, NBCC, PROVISIONAL LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2012

Counselor (License #276481 in WV)

🟢
Initial NPI Registration & Enumeration March 05, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1821362153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2012
Last Update: March 18, 2023
Sole Proprietor: No

Mailing Address

115 Private Road 977

Pedro, OH 456598608

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.