Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Geovanni Wesley Charles, LPC

Individual provider Professional Counselor · NPI 1780567693

Geovanni Wesley Charles, LPC is a Mental Health Counselor in Kutztown, Pennsylvania. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2200 Lifestyle Ln Apt 1102
Kutztown, PA 19530-8615
Phone: (484) 587-6014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC018984 (PA)

Record details

NPI number1780567693
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedJuly 29, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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