Charlene Kyse
Counselor, Mental Health in Champaign, IL. Individual provider (NPI-1).
NPI number1265760656
StatusActive
Last updated in NPPESNov 24, 2009
Details
- NPI
- 1265760656
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Charlene Kyse
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2009
- Last updated
- Nov 24, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
202 W Park AveChampaign, IL 61820-3929
Phone 217-373-2430 · Fax 217-373-2443
Mailing address
202 W Park AveChampaign, IL 61820-3929
Phone 217-373-2430 · Fax 217-373-2443
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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