CHARISMA MABRY – Mental Health Counselor, NPI 1306492103

CHARISMA MABRY is a healthcare provider. based in Merrillville, Indiana. specializing in CLINICAL SOCIAL WORKER. The NPI Number for CHARISMA MABRY is 1306492103

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
CHARISMA MABRY
NPI
1306492103
Phone
Not provided
Address
8200 GEORGIA ST
Enumeration Date
16 August 2019
Last Update Date
16 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083495433
Graduation Year
2017 (9 years ago)
PAC ID
5890218523
Group Practice PAC ID
9032299474
Professional Enrollment ID
I20250402003214
Address ID
IL604302140HO18161AVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:6State licenses:0Digital endpointsOther names

1,743 CLINICAL SOCIAL WORKER in IN

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Provider Addresses for CHARISMA MABRY

  • 8200, Georgia Street, Chapel Manor, Merrillville, Lake County, Indiana, 46410, United States

    MERRILLVILLE, IN 464106227

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250402003214IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46410)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032299474View full group profile
NameSpecialtyState
Clinical PsychologistIL
Clinical PsychologistIL
Clinical Social WorkerIL
Marriage And Family TherapistIL
Clinical Social WorkerIL
Clinical Social WorkerIL
-IL

Reviews

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Frequently asked questions

Can I use this page to confirm CHARISMA MABRY's NPI?
Yes. CHARISMA MABRY is listed with NPI 1306492103 in the public NPI dataset.
Is CHARISMA MABRY still practicing?
CHARISMA MABRY is currently listed as active in the public NPI registry.
What healthcare role does CHARISMA MABRY hold?
Scheduling teams often label CHARISMA MABRY under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What area does CHARISMA MABRY serve?
CHARISMA MABRY's listing highlights Merrillville, Indiana; more addresses can appear in NPPES.
Is the information about CHARISMA MABRY up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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